老年股骨颈骨折术后并发深静脉血栓的相关因素
Factors Related to Deep Vein Thrombosis in Elderly Patients after Femoral Neck Fracture
DOI: 10.12677/ACM.2023.13122628, PDF,   
作者: 奉 超:新疆医科大学第四临床医学院,新疆 乌鲁木齐;陈平波:新疆维吾尔自治区中医医院骨四科,新疆 乌鲁木齐
关键词: 老年股骨颈骨折下肢深静脉血栓形成相关因素Femoral Neck Fracture in the Elderly Lower Extremity Deep Vein Thrombosis Relevant Factors
摘要: 下肢骨折术后常并发深静脉血栓形成(deep venous thrombosis, DVT),而股骨颈骨折术后较其他下肢骨折类型更易发生下肢深静脉血栓。近几年,随着对术后并发深静脉血栓形成相关危险因素研究的深入,临床医师需要采用越来越个体化、系统化的相关危险因素作为预防指标。通过大量文献分析,本文从原发性因素、继发性因素这两个方面对致DVT的相关因素做简要综述。
Abstract: Deep vein thrombosis (DVT) often occurs after lower extremity fracture, and femoral neck fracture is more likely to occur than other lower extremity fracture types. In recent years, with the deepen-ing of the research on the risk factors related to postoperative DVT, clinicians need to adopt more and more individualized and systematic risk factors as prevention indicators. Based on a large number of literature analysis, this paper briefly reviews the related factors causing DVT from two aspects: primary factors and secondary factors.
文章引用:奉超, 陈平波. 老年股骨颈骨折术后并发深静脉血栓的相关因素[J]. 临床医学进展, 2023, 13(12): 18697-18702. https://doi.org/10.12677/ACM.2023.13122628

参考文献

[1] Aude, M., Jean-Jacques, B., Laura, I., et al. (2022) Fracture Distribution in Postmenopausal Women: A FRISBEE Sub-Study. Archives of Osteoporosis, 18, Article No. 3. [Google Scholar] [CrossRef] [PubMed]
[2] Ma, J.X., Kuang, M.J., Xing, F., et al. (2018) Sliding Hip Screw versus Cannulated Cancellous Screws for Fixation of Fem-oral Neck Fracture in Adults: A Systematic Review. International Journal of Surgery, 52, 89-97. [Google Scholar] [CrossRef] [PubMed]
[3] Nishi, T., Maeda, T. and Babazono, A. (2018) Association between Financial Incentives for Regional Care Coordination and Health Care Resource Utilization among Older Patients after Femoral Neck Fracture Surgery: A Retrospective Cohort Study Using a Claims Database. Population Health Manage-ment, 21, 331-337. [Google Scholar] [CrossRef] [PubMed]
[4] Dhanwal, D.K., Dennison, E.M., Harvey, N.C. and Cooper, C. (2011) Epidemiology of Hip Fracture: Worldwide Geographic Variation. Indian Journal of Orthopaedics, 45, 15-22. [Google Scholar] [CrossRef] [PubMed]
[5] 李卉, 米博斌, 曹发奇, 等. 快速康复外科在老年髋部骨折病人围手术期中的应用[J]. 临床外科杂志, 2021, 29(10): 964-966.
[6] 张璐妮, 刘世军, 陈丽波. 超声评价糖尿病下肢动脉硬化闭塞症中侧支循环建立的研究进展[J]. 中国实验诊断学, 2018, 22(7): 1284-1286.
[7] 中华医学会外科学分会血管外科学组. 深静脉血栓形成的诊断和治疗指南(第三版) [J]. 中华普通外科杂志, 2017, 32(9): 807-812.
[8] Myers, D.D. (2015) Pathophysiology of Venous Thrombosis. Phlebology: The Journal of Venous Dis-ease, 30, 7-13. [Google Scholar] [CrossRef] [PubMed]
[9] 冯雪艳, 张晓华, 姜珊. 老年股骨颈骨折患者术前下肢深静脉血栓发生的危险因素分析[J]. 中国临床医生杂志, 2023, 51(1): 82-85.
[10] Antignani, P.L., Allegra, C. and Fareed, J. (2019) Treatment of Deep Vein Thrombosis with Rivaroxaban and Its Potential to Prevent the Post-Thrombotic Syndrome. International Angiology, 38, 17-21. [Google Scholar] [CrossRef
[11] Lee, S.Y., Ro, D.H., Chung, C.Y., et al. (2015) Incidence of Deep Vein Thrombosis after Major Lower Limb Orthopedic Surgery: Analysis of a Nationwide Claim Registry. Yonsei Medical Journal, 56, 139-145. [Google Scholar] [CrossRef] [PubMed]
[12] Shibuya, N., Frost, C.H., Campbell, J.D., et al. (2012) Incidence of Acute Deep Vein Thrombosis and Pulmonary Embolism in Foot and Ankle Trauma: Analysis of the National Trauma Data Bank. The Journal of Foot and Ankle Surgery, 51, 63-68. [Google Scholar] [CrossRef] [PubMed]
[13] 刘大伟, 朱燕宾, 王宇钏, 等. 老年股骨颈骨折后下肢深静脉血栓发生情况及其危险因素分析[J]. 中国中西医结合外科杂志, 2021, 27(2): 228-232.
[14] Barco, S., Klok, F.A., Mahé, I., et al. (2019) Impact of Sex, Age, and Risk Factors for Venous Thromboembolism on the Initial Presentation of First Isolated Symptomatic Acute Deep Vein Thrombosis. Thrombosis Research, 173, 166-171. [Google Scholar] [CrossRef] [PubMed]
[15] 雷英, 刘艳丽, 李阳, 等. 髋部骨折并发下肢深静脉血栓形成危险因素分析[J]. 中华创伤杂志, 2019, 35(9): 817-822.
[16] Ay, C. and Pabinger, I. (2012) Treatment and Sec-ondary Prevention of Venous Thromboembolism in Cancer Patients. Current Strategies and New Therapeutic Options. Hamostaseologie, 32, 139-144. [Google Scholar] [CrossRef] [PubMed]
[17] Pandit, V., Kempe, K., Hanna, K., et al. (2022) Venous Thromboembolism as the First Sign of Malignancy. Journal of Vascular Surgery: Venous and Lymphatic Dis-orders, 10, 1260-1266. [Google Scholar] [CrossRef] [PubMed]
[18] 王晨, 王鹏飞, 宋哲, 等. 股骨颈骨折术后发生下肢深静脉血栓的相关研究[J]. 国际外科学杂志, 2018, 45(7): 452-455.
[19] 孙健平, 薛汉中, 张堃, 等. 术中输血对创伤骨科患者术后深静脉血栓形成的影响研究[J]. 中华创伤骨科杂志, 2021, 23(9): 793-797.
[20] 顾连华, 吴会国, 卢永伟, 等. 股骨颈骨折术后深静脉血栓发生情况及影响因素分析[J]. 中国医院统计, 2020, 27(4): 319-321.
[21] Mathur, A., Fassihi, S.C., Ramamurti, P. and Doerre, T. (2020) Deep Vein Thrombosis after Ce-ment Intravasation during Hip Hemiarthroplasty. Arthroplasty Today, 6, 283-287. [Google Scholar] [CrossRef] [PubMed]
[22] 邱皓, 朱云, 翁政, 等. 老年股骨转子间骨折治疗过程中氨甲环酸的应用[J]. 中国组织工程研究, 2023, 27(22): 3550-3554.
[23] 王君婷. 不同麻醉方式对老年髋部骨折患者围术期转归的影响[D]: [硕士学位论文]. 北京: 解放军医学院, 2020.
[24] Yang, H., Yang, G., Xu, M., et al. (2022) Impact of High Altitude on the Incidence of Postoperative Venous Thromboembolism and Its Genetic Susceptibility: A Meta-Analysis and Systematic Review. Science of the Total Environment, 838, Article ID: 156632. [Google Scholar] [CrossRef] [PubMed]
[25] Lo Re, V., Dutcher, S.K., Connolly, J.G., et al. (2022) Asso-ciation of COVID-19 vs Influenza with Risk of Arterial and Venous Thrombotic Events among Hospitalized Patients. JAMA, 328, 637-651. [Google Scholar] [CrossRef] [PubMed]
[26] Damoah, C.E., Snir, O., Hindberg, K., et al. (2022) High Levels of Complement Activating Enzyme MASP-2 Are Associated with the Risk of Future Incident Venous Thromboembolism. Arteriosclerosis, Thrombosis, and Vascular Biology, 42, 1186-1197. [Google Scholar] [CrossRef
[27] Rastogi, P., Kumar, N., Ahluwalia, J., et al. (2019) Throm-bophilic Risk Factors Are Laterally Associated with Apolipoprotein E Gene Polymorphisms in Deep Vein Thrombosis Patients: An Indian Study. Phlebology: The Journal of Venous Disease, 34, 324-335. [Google Scholar] [CrossRef] [PubMed]
[28] Wilson, D., Cooke, E.A., McNally, M.A., et al. (2002) Altered Venous Function and Deep Venous Thrombosis following Proximal Femoral Fracture. Injury, 33, 33-39. [Google Scholar] [CrossRef
[29] Cheng, X., Fan, L., Hao, J., et al. (2022) Red Cell Distribu-tion Width-to-High-Density Lipoprotein Cholesterol Ratio (RHR): A Promising Novel Predictor for Preoperative Deep Vein Thrombosis in Geriatric Patients with Hip Fracture. Clinical Interventions in Aging, 17, 1319-1329. [Google Scholar] [CrossRef
[30] 吴鼎, 王晓丽, 孟庆义, 等. 髂静脉压迫综合征的诊治进展[J]. 中国医学计算机成像杂志, 2020, 26(3): 297-299.