张德俭,罗盛飞,杨明亮,等.脊髓损伤患者小腿肌间静脉丛血栓危险因素的描述性研究[J].中华物理医学与康复杂志,2021,43(4):342-346
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| 脊髓损伤患者小腿肌间静脉丛血栓危险因素的描述性研究 |
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| DOI：10.3760/cma.j.issn.0254-1424.2021.04.012 |
| 中文关键词: 脊髓损伤 小腿肌间静脉丛血栓 血栓性疾病 回顾分析 |
| 英文关键词: Spinal cord injury Calf muscle Thrombosis Thrombotic disease Retrospective analyses |
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| 中文摘要: |
| 目的 分析脊髓损伤住院患者小腿肌间静脉丛血栓（MCVT）的临床资料特点，探讨其防治策略。 方法 收集423例脊髓损伤住院患者的病历资料，将住院期间发生MCVT的患者分为观察组，未发生MCVT的患者分为对照组，比较两组患者的临床特点。 结果 筛选MCVT的影响因素，将其纳入Logistic回归分析。结果显示，年龄、脊髓损伤ASIA分级（A-B级）、脊柱融合术、预防性抗凝、PT治疗、同型半胱氨酸＞15 μmol/L是影响MCVT发生的相关因素。 结论 脊髓损伤患者MCVT的发生受多种因素影响，包括年龄、脊髓损伤ASIA分级（A～B级）、脊柱融合术和血清同型半胱氨酸水平，积极行预防性抗凝及物理治疗可能会降低MCVT的发生率。 |
| 英文摘要: |
| Objective To analyze the clinical data on hospitalized spinal cord injury patients with calf muscle vein thromboses (MCVTs) seeking prevention and treatment techniques. Methods The medical records of 423 patients with spinal cord injury were collected. Those with MCVT constituted the observation group, while those without served as controls. Their clinical data were compared. Results The risk factors for MCVT were screened in logistic regression analyses. The results showed that age, an ASIA grade of A or B, spinal fusion, preventive anticoagulation, physiotherapy treatment and a homocysteine level >15μmol/L were risk factors for the occurrence of a MCVT. Conclusions Age, an ASIA grade of A or B, spinal fusion or an elevated serum homocysteine level are all risk factors for MCVT. Active anticoagulation and physical therapy may reduce the risk. |
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