摘要
目的:探讨骨科创伤患者手术后下肢深静脉血栓形成的影响因素及临床治疗方案。方法:选择2011年4月-2014年4月来笔者所在医院骨科进行下肢骨折创伤手术的52例患者为研究对象。根据有无深静脉血栓发生分为观察组与对照组,观察组31例,对照组21例。比较观察组及对照组自身病因及与手术相关的外在因素,观察下肢深静脉血栓患者治疗效果。结果:观察组与对照组高血压、糖尿病及血栓史等内在因素比较,差异均有统计学意义(P<0.05),手术时间及制动时间等外在因素比较,差异亦有统计学意义(P<0.05)。综合手术治疗总有效率为94.44%,机械配合药物治疗总有效率为84.62%。结论:下肢骨科创伤患者手术后发生下肢深静脉血栓不仅与手术时间、制动时间等外在因素有关,同时与高血压、糖尿病等内在因素有关,医护人员应结合内外在因素合理安排术中及术后治疗方式,提高治疗效果。
Objective：To investigate the factors and clinical treatment of the orthopaedic trauma patients after surgery with deep venous thrombosis.Method：From April 2011 to April 2011,52 patients with the orthopaedic trauma after surgery which admitted in our hospital were selected as the research objects.According to the presence of deep vein thrombosis occurred,them were divided into the observation group and the control group,the observation group had 31 people,the control group had 21 people.theirselves＇ causes and external factors related to operation were compared and observed,and the effect of DVT patients were observed.Result：The history of high blood pressure,diabetes and blood clots on internal factors of the observation group and the control group had statistically significant differences（P〈0.05）,the operation time and braking time of two groups had statistically significant differences（P〈0.05）.The total effect rate of the comprehensive operating was 94.44%,the total effect rate of the machine and drug was 84.62%.Conclusion：The occurring of deep vein thrombosis after orthopedic trauma surgery is not only connected with external factors,such as the operation time and braking time,but also other internal factors,such as high blood pressure,diabetes,health care workers should reasonable arrange intraoperative and postoperative treatments combined with the different factors,improve therapeutic effect.
出处
《中外医学研究》
2016年第11期21-22,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
骨科创伤
下肢深静脉血栓
高血压
制动时间
The orthopaedic trauma
Deep venous thrombosis
High blood pressure
The braking time
