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| 骨质疏松性髋部骨折患者术前发生DVT的风险因素分析 |
| Risk factors of preoperative DVT in patients with osteoporotic hip fractures |
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| DOI：10.3969/j.issn.1006-7108.2026.07.010 |
| 中文关键词: 骨质疏松 髋部骨折 深静脉血栓 发病情况 |
| 英文关键词:osteoporosis hip fracture deep vein thrombosis occurrence of the disease |
| 基金项目:河南省医学攻关计划（联合共建）项目（LHGJ20190857) |
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| 中文摘要: |
| 目的 调查分析骨质疏松性髋部骨折患者术前深静脉血栓（deep vein thrombosis，DVT）发病情况及相关风险因素。方法 选择医院2024年诊治的60例骨质疏松性髋部骨折并接受手术治疗的患者，记录患者术前DVT发生情况，根据术前是否发生DVT分为DVT组、非DVT组，经医院电子病历系统收集患者性别、年龄等临床资料并进行对比，利用多因素Logistic回归分析骨质疏松性髋部骨折患者术前DVT发生的相关风险因素。结果 60例骨质疏松性髋部骨折患者中，术前DVT的发生风险为13.33%；通过单因素、多因素Logistics回归分析，骨质疏松性髋部骨折患者术前发生DVT的影响因素为年龄≥70岁、受伤至入院时间≥48 h、糖尿病患者占比及高水平SII、FIB、D-二聚体（P＜0.05）。结论 骨质疏松性髋部骨折患者术前发生DVT的风险相对较高，且受年龄≥70岁、受伤至入院时间≥48 h、患糖尿病等因素的影响，可根据危险因素对患者实施合理的防治措施。 |
| 英文摘要: |
| Objective To investigate and analyze the incidence of preoperative deep vein thrombosis (DVT) and related risk factors in patients with osteoporotic hip fractures. Methods Sixty patients with osteoporotic hip fractures who received surgical treatment in our hospital from January 2024 to December 2024 were selected. The occurrence of DVT before surgery was recorded. The patients were divided into DVT group and non DVT group according to whether DVT occurred before surgery. Clinical data such as gender and age were collected and compared from the hospital's electronic medical record system. Multiple logistic regression analysis was used to identify the relevant risk factors for preoperative DVT in patients with osteoporotic hip fractures. Results Among the 60 patients with osteoporotic hip fractures, the risk of preoperative DVT was 13.33%. Univariate and multivariate logistics regression analyses showed that the influencing factors for preoperative DVT in patients with osteoporotic hip fractures were age over 70 years old, time from injury to admission over 48 hours, the proportion of patients with diabetes, and high levels of SII, FIB, and D-dimer (P<0.05). Conclusion The risk of preoperative DVT in patients with osteoporotic hip fractures is relatively high. It is affected by factors such as age over 70 years old, time from injury to admission over 48 hours, and the presence of diabetes. Reasonable prevention and treatment measures can be implemented for patients based on risk factors. |
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