妇科手术后下肢深静脉血栓形成的危险因素分析-论文.pdf

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1、广西医学2014年4月第36卷第4期465警曦瞒两睫

2、妇科手术后下肢深静脉血栓形成的危险因素分析李丽军(桂林医学院附属医院妇科，桂林市541001，E—mail：bwk3160@163．com)【摘要】目的探讨妇科手术后下肢深静脉血栓形成(DVT)的危险因素。方法选择妇科手术后发生下肢DVT的83例患者为病例组，同期行妇科手术但未发生下肢DⅥ’的83例患者为对照组。对两组年龄、职业性质、体重、合并症、手术方式、手术时间、月经时期、恶性肿瘤等进行单因素及多因素非条件logistic回归分析。结果单因素分析结果显示，DVT发病与年龄、体重、

3、合并症(高血压、糖尿病、高脂血症)、恶性肿瘤、手术方式、职业性质有关；多因素非条件logistic回归分析显示，有合并症(高血压、糖尿病、高脂血症)、恶性肿瘤、职业性质是影响DVT发病的独立因素(P<0．05)，其中前两者为危险因素，职业性质为体力劳动是保护性因素。结论有合并症(包括高血压、糖尿病、高脂血症)及妇科恶性肿瘤为妇科手术后下肢深静脉血栓相关危险因素；体力劳动是妇科手术后下肢深静脉血栓发生的保护因素。【关键词】下肢深静脉血栓；妇科手术；logistic回归分析；危险因素【中图分类号】R713．1【文献标识码】A【文章编号】02

4、53—4304(2014)04—0465—03DoI：10．11675／j．issn．0253—4304．2014．04．18RiskFactorsforDeepVenousThrombosisinLowerExtremityFogowingingGynecologicalOperationJ已，Lin(DepartmentofGynecology，theAffiliatedHospitalofGuilinMedwalCollege，Guilin541001，China)【Abstract】ObjectiveToexploretheri

5、skfactorsfordeepvenousthrombosis(DVT)inthelowerextremityfollowinggynecologicaloperation．MethodsEighty—threepatientswithDVTinthelowerextremityfollowinggynecologicaloperationwereselectedascasegroupand83patientswithoutDVTinthelowerextremityundergoinggynecologicaloperationwe

6、reselectedascontrolgroup．Therelatedfactorsincludingage，occupation，bodyweight，complications，operativemethod，operativetime，menstrualcycleandcancerwereanalyzedbyunivariateunconditionallogisticregressionanalysisandmultivariateunconditionallogisticregressionanalysis．ResultsTh

7、eunivafiateunconditionallogisticregressionanalysissuggestedthatDVTcorrelatedwithage，bodyweight，complications(includinghypertension，diabetesmellitusandhyper-lipemia)，cancer，operativemethodandoccupation(P<0．05)．Themultivariateunconditionallogisticregressionanalysissuggeste

8、dthatcomplications(includinghypertension，diabetesmellitusandhyperlipemia)，cancerandoccupationwereindependentfactorsforDvI1(P

9、ellitusandhyperlipemia)andgynecologicalcanceraretherelatedriskfactorsfordeepvenousthrombosisinthelowere