在骨骨折后的老年患者中,ABO血型和下肢深静脉血栓形成之间的相关性
Xiuli Cui1, Ronglin Xia1, Aijun Chao1
1Department of Osteo-Internal Medicine, Tianjin Hospital (Affiliated Hospital of Tianjin University) No. 406 Jiefang South Road, Hexi District, Tianjin 300211, China.
American journal of translational research
|July 15, 2024
概括
在老年患者的部手术后,非O型血液与深静脉血栓形成的风险更高有关. 其他危险因素包括高BMI,高血压和异常血细胞计数.
科学领域:
- 血管外科 血管外科
- 血液学 血液学 血液学
- 老年医学 老年医学
背景情况:
- 接受关节骨折手术的老年患者面临着下肢深静脉血栓症 (LEDVT) 的显著风险.
- 了解风险因素,包括血型,对于有效的预防策略至关重要.
研究的目的:
- 调查老年关节骨折患者的 ABO 血型和 LEDVT 发病率之间的关联.
- 确定在这个群体中导致血栓形成的独立风险因素.
主要方法:
- 对159名患有关节骨折的老年患者进行了回顾性分析.
- 在O型和非O型血型组之间对LEDVT发病率的比较.
- 后勤回归和ROC曲线分析以确定风险因素和预测有效性.
主要成果:
- 在非O型血型患者 (34.21%) 和O型血型患者 (15.56%) 中,LEDVT发生率显著高.
- 确定了独立的危险因素:非O型血型,高BMI,高血压,低血小板计数 (PLT) 和延长的血前激素时间 (PT).
- ROC分析显示出良好的预测效率 (AUC=0.862).
结论:
- 在老年患者中,ABO血型是LEDVT的显著相关因子.部骨折后.
- 非O型血型,高BMI,高血压,低PLT和延长PT与LEDVT风险增加有关.
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