摘要
目的探究颅脑肿瘤患者术后下肢深静脉血栓的相关危险因素。方法选择颅脑肿瘤患者100例,依据术后DVT发生情况分为DVT组(17例),非DVT组(83例)。分析颅脑肿瘤患者术后DVT发生率,并对相关危险因素行单因素及多因素分析。结果单因素分析显示:DVT组幕上肿瘤、术后有下肢功能障碍发生率均高于非DVT组,手术时间、卧床时间长于非DVT组,D-D、TC、TG水平高于非DVT组,PT长于非DVT组,有统计学差异(P<0.05)。多因素分析显示:肿瘤位置、术后下肢功能障碍、术中输血、肢体肿胀、术后感染、手术时间、卧床时间、PT、D-D、TC、TG是颅脑肿瘤术后DVT发生的独立危险因素(OR值≥1,且P<0.05)。结论肿瘤位置、术后下肢功能障碍、术中输血、肢体肿胀、术后感染、手术时间、卧床时间、PT、D-D、TC、TG是颅脑肿瘤患者术后DVT发生的独立危险因素,临床可结合上述危险因素行针对性干预,以改善预后。
Objective To explore the risk factors of deep vein thrombosis in lower limbs in patients with brain tumors.Methods 100 patients were divided into DVT(17)and non-DVT based on the postoperative DVT.The incidence of postoperative DVT was analyzed in craniocerebral tumor patients,and the univariate and multivariate analysis of the relevant risk factors were performed.Results Univariate analysis showed that the incidence of on-screen tumor and postoperative lower limb dysfunction in DVT group was higher than that in non-DVT group,operation time and bed time were longer than non-DVT group,D-D,TC and TG levels were higher than those in non-DVT group,and PT was longer than non-DVT group,with statistical differences(P<0.05).Multivariate analysis showed that tumor location,postoperative lower limb dysfunction,intraoperative blood transfusion,limb swelling,postoperative infection,surgical time,bed bed time,PT,D-D,TC,and TG were independent risk factors for postoperative DVT of craniocerebral tumors(OR 1,and P<0.05).Conclusion Tumor position,postoperative lower limb dysfunction,intraoperative blood transfusion,limb swelling,postoperative infection,surgical time,bed stay time,PT,D-D,TC,and TG are independent risk factors for postoperative DVT in craniocerebral tumor patients,which can be combined with the above risk factors to improve prognosis.
作者
翟会民
聂贝贝
孙冬丽
ZHAI Huimin;NIE Beibei;SUN Dongli(The First Affiliated Hospital of Zhengzhou University,Zhengzhou,450000)
出处
《实用癌症杂志》
2022年第5期833-835,共3页
The Practical Journal of Cancer
关键词
颅脑肿瘤
下肢深静脉血栓
危险因素
Craniocerebral tumor
Deep vein thrombosis of the lower limbs
Risk factors
