在患有骨骨折的老年患者中,术前DVT的危险因素
Noratep Kulachote1, Pheeraphat Phoophiboon1,2, Pongsthorn Chanplakorn1
1Department of Orthopedics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand.
Journal of clinical medicine
|February 27, 2026
概括
在老年骨折患者的手术前深静脉血栓塞 (DVT) 预测是女性性别,活跃吸烟,高 Wells.
科学领域:
- 老年医学 老年医学
- 血管外科 血管外科
- 整形外科手术 整形外科手术
背景情况:
- 深静脉血栓症 (DVT) 是老年骨折患者的重大并发症,可能导致肺栓塞.
- 尽管术后护理的进步,手术前的DVT仍然是一个关键问题.
研究的目的:
- 为了确定患有骨骨折的老年患者手术前DVT的危险因素.
主要方法:
- 60岁以上的关节骨折患者的回顾性病例对照研究.
- 排除以前有DVT或不完整记录的患者.
- 后勤回归分析以确定手术前DVT的独立预测因素.
主要成果:
- 在454名符合条件的患者中,5.1%被诊断患有手术前的DVT.
- 确定了独立预测因素:女性性别 (p=0.02),活跃吸烟 (p=0.01),威尔斯得分≥2 (p=0.01),血小板与淋巴细胞比率 (PLR) 升高 (p=0.05).
- 预测模型显示了良好的区分性能 (AUC=0.81).
结论:
- 手术前的DVT在老年关节骨折患者中具有临床意义.
- 女性性别,活跃吸烟,较高的威尔斯分数和升高的PLR是关键的独立预测因素.
- 纳入这些因素可以增强手术前风险分层,并优化诊断成像.
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