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老年髋部骨折患者围术期DVT危险因素及预防进展研究

洪薇薇1 崔冀芳2

1.青海大学 2.青海省人民医院

摘要(Abstract):

老年髋部骨折患者是DVT的高危人群,为降低其相关病死率,临床指南普遍推荐对这类患者实施系统性的DVT预防。本综述旨在系统阐述老年髋部骨折患者DVT发生的影响因素(个体因素和手术因素),并梳理基础预防、物理预防及药物预防的循证依据,以期为该高危群体优化DVT预防方案及推动相关临床研究提供理论参考与实践方向。


关键词(KeyWords):

髋部骨折;DVT;影响因素;预防


参考文献(References):

[1]刘广东,赵志辉,杨志强,等.低分子肝素联合血塞通在老年髋部骨折术后的作用[J].中国老年学杂志,2019,39(01):92-95. 

[2]宋咪,孔丹,高远,等.老年髋部骨折围术期护理临床 实践专家共识(2023 版)[J].中华创伤杂志,2023,39(3). 

[3]WANG T,YANG S,WANG Z,et al. Incidence and risk factors of admission deep venous thrombosis in nonagenarians and centenarians with intertrochanteric fracture: a retrospective study[J]. Journal of Orthopaedic Surgery and Research,2023,18(1):558. 

[4]ZHAO K, ZHANG J, LI J, et al. Incidence of and risk factors for new-onset deep venous thrombosis after intertrochanteric fracture surgery[J].Scientific Reports,2021,11(1):17319. 

[5]ZENG Y , SI H , WU Y , et al. The incidence of symptomatic in-hospital VTEs in Asian patients undergoing joint arthroplasty was low: a prospective , multicenter , 17 , 660-patient-enrolled cohort study [J].Knee Surgery , Sports Traumatology, Arthroscopy,2019,27(4):1075-1082.


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