红细胞分布宽度 (RDW) 与手术前深静脉血栓塞 (DVT) 在关节骨折中有关:一项回顾性研究
Ji-Dong Liang1, Shuai-Liang Xu2, Bin-Fei Zhang3
1Department of Hand Surgery, Honghui Hospital, Xi'an Jiaotong University, Beilin District, Xi'an, Shaanxi Province, China.
Perioperative medicine (London, England)
|January 16, 2026
概括
入院时红细胞分布宽度 (RDW) 与老年骨折患者的手术前深静脉血栓形成 (DVT) 有关. 较高的RDW增加了DVT风险,突出了其作为预测标记物的潜力.
科学领域:
- 老年医学 老年医学
- 血液学 血液学 血液学
- 整形外科手术 整形外科手术
背景情况:
- 深静脉血栓塞 (DVT) 是老年人骨折的一个重大并发症.
- 早期识别DVT风险因素对于患者管理至关重要.
- 红细胞分布宽度 (RDW) 是红细胞变异性的指标.
研究的目的:
- 调查入院红细胞分布宽度 (RDW) 和手术前深静脉血栓塞 (DVT) 之间的关联.
- 评估RDW对DVT在接受关节骨折手术的老年患者的预测价值.
主要方法:
- 分析了1686名患有部骨折的老年成人患者的队列.
- 用多变量逻辑回归模型来确定RDW和DVT之间的关联.
- 进行了敏感性分析,以证实研究结果的可靠性.
主要成果:
- 在部骨折患者中,入院RDW与手术前的DVT显著相关 (OR=1.03,95%CI:1.01-1.05,P<0.001).
- 每个单位的RDW增加与DVT风险增加3%相关.
- 观察到的关联在敏感性分析中保持一致.
结论:
- 入院RDW是骨骨折的老年人手术前 DVT 的一个有价值的预测指标.
- 在这种患者群体中,RDW测量可能有助于对DVT的风险分层和早期干预.
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