老年脑卒中患者下肢深静脉血栓形成的危险因素分析(1)
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[摘要] 目的 探讨老年脑卒中患者下肢深静脉血栓形成的危险因素。 方法 对我院收治的438例老年脑卒中患者作为研究对象，根据其是否出现下肢深静脉血栓将其分为实验组以及对照组，对两组患者的临床资料、生化检查进行分析。 结果 两组患者在长期卧床、股静脉穿刺、高血压一般情况比较中具有统计学差异性(P < 0.05)；两组患者生化指标、纤维蛋白原、PT、APTT、TT、D—二聚体比较中具有统计学意义(P < 0.05)；高血压、纤维蛋白原、卧床时间、APTT是影响下肢DVT的独立危险因素(P < 0.05)。 结论 高血压、卧床时间、纤维蛋白原升高以及APTT均是导致患者出现DVT的危险因素，积极预防以及控制这些相应的危险因素，可有效减少、预防DVT的发生。
[关键词] 老年；脑卒中；下肢深静脉血栓；危险因素
[中图分类号] R743.3 [文献标识码] B [文章编号] 1673—9701(2012)26—0026—02
Risk factors of lower extremity deep venous thrombosis in elderly stroke patients
LOU Gang ZHANG Shunkai YI Xingyang
Department of Neurology， Ruian People's Hospital in Zhejiang Province， the Third Affiliated Hospital of Wenzhou Medical College， Ruian 325200， China
[Abstract] Objective To investigate the risk factors of elderly stroke patients with deep venous thrombosis. Methods All 438 cases of elderly stroke patients in our hospital is the most studied， divided into experimental group and control group， two groups of patients with clinical data， biochemical tests were analyzed according to whether there is a deep vein thrombosis. Results There were statistically significant for bedridden， the femoral vein puncture， the general situation of hypertension (P < 0.05)； two groups of patients with biochemical indicators， fibrinogen， the PT and APTT， TT， the D—two polymer with statistical difference (P < 0.05)； High blood pressure， fibrinogen， bed time， APTT is an independent risk factor of DVT (P <0.05). Conclusion The high blood pressure， bed time， fibrinogen and APTT are the occurrence of the patients with DVT risk factors， prevention and control of these risk factors can effectively reduce and prevent DVT.
[Key words] Elderly； Stroke； Deep venous thrombosis； Risk factors ......
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