脑血管病患者发生静脉血栓栓塞症的影响因素分析

摘要/Abstract

摘要： 目的探讨脑血管病患者发生静脉血栓栓塞症（VTE）的影响因素。方法回顾性分析2021年1月—2023年12月赤峰市医院就诊的100例脑血管病患者的临床资料,整理并记录患者住院期间VTE发生情况并分组,将其分为VTE组、非VTE组。整理并记录患者的临床资料、实验室指标检测结果,重点分析脑血管病患者发生VTE的影响因素。结果 100例脑血管病患者中,24例患者发生VTE,发生率为24%（24/100）。初步比较VTE组与非VTE组患者资料发现,年龄、既往VTE史、卧床时间可能是脑血管病患者发生VTA的影响因素（P<0.05）;经logistic回归分析结果显示,年龄≥60岁、既往VTE史、卧床时间≥72 h是脑血管病患者发生VTE的影响因素（P<0.05）,且均为危险因素（OR>1）。结论年龄≥60岁、既往VTE史、卧床时间≥72 h的脑血管病患者可能有VTE发生风险,应引起临床重视。

关键词: 脑血管病, 静脉血栓栓塞症, 年龄, 卧床时间

Abstract: Objective To explore the influencing factors of venous thromboembolism (VTE) in patients with cerebrovascular disease. Methods A retrospective analysis was conducted to collect data from 100 patients with cerebrovascular diseases who visited Chifeng Municipal Hospital from January 2021 to December 2023. The incidence of VTE during hospitalization was organized and recorded, and the patients were divided into VTE group and non VTE group. The clinical data and laboratory test results of the patients were sorted out and recorded, and the influencing factors of VTE in patients with cerebrovascular disease were analyzed. Results 24 out of 100 patients with cerebrovascular disease developed VTE, with an incidence rate of 24% (24/100). Preliminary comparison of data between VTE group and non VTE group patients revealed that age, previous VTE history, bed rest time may be influencing factors for VTA in cerebrovascular disease patients (P<0.05). Through logistic regression analysis, the results showed that age≥60 years old, previous VTE history, bed duratio ≥72 h were the risk factors for VTE in cerebrovascular disease patients (P<0.05), and all were risk factors (OR>1). Conclusion Cerebrovascular disease patients with age≥60 years old,previous VTE history, and bed time≥72 h may have the risk of VTE, which should be paid attention to in clinical practice.

Key words: cerebrovascular disease, venous thromboembolism, bedtime age, deep vein catheterization

中图分类号:

R743

牛方雪. 脑血管病患者发生静脉血栓栓塞症的影响因素分析[J]. 中华养生保健, 2025, 43(2): 193-196.

NIU Fang-xue. Analysis of Influencing Factors for VTE in Patients with Cerebrovascular Disease[J]. ZHONGHUA YANGSHENG BAOJIAN, 2025, 43(2): 193-196.

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