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老年髋部骨折患者围手术期深静脉血栓影响因素的meta分析

  • 张淑蓉 ,
  • 王芳 ,
  • 冯月 ,
  • 王琪 ,
  • 刘超凡 ,
  • 陈俊竹
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  • 1. 成都中医药大学护理学院
    2. 成都中医药大学附属医院

收稿日期: 2023-09-05

  修回日期: 2023-10-13

  网络出版日期: 2023-12-12

基金资助

广安市科技局课题

Meta-analysis of influence factors of deep vein thrombosis in elderly patients with hip fracture during perioperative period

  • ZHANG Shu-Rong ,
  • WANG Fang ,
  • FENG Yue ,
  • WANG Qi ,
  • LIU Chao-Fan ,
  • CHEN Jun-Zhu
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Received date: 2023-09-05

  Revised date: 2023-10-13

  Online published: 2023-12-12

摘要

【摘要】   目的   提炼老年髋部骨折患者围手术期深静脉血栓形成的影响因素,为临床人员提供指导意见。方法   通过计算机专业检索Web of Science、PubMed、Cochrane、Embase、EBSCO、中国知网、万方数据库、维普数据库、CBM中建库至2023年7月2日关于老年髋部骨折患者深静脉血栓影响因素的相关文献,使用RevMan 5.4软件进行数据分析。结果   共纳入40篇文献,涉及13 247例病人,深静脉血栓发生率为16.55%,包含27项影响因素,19项影响因素的合并效应量具有统计学意义(P<0.05),其中男性、服用抗凝药、白蛋白、活化部分凝血活酶时间(APTT)是保护因素,糖尿病、高血脂、恶性肿瘤史、脑血管史、周围血管病史、静脉血栓栓塞(VTE)病史、合并内科疾病≥3种、吸烟、股骨粗隆间骨折、长期卧床、受伤至入院时间、受伤至检查时间、受伤至手术时间、手术时间、输血是老年髋部骨折患者围手术期深静脉血栓的危险因素。结论   老年髋部骨折患者围手术期深静脉血栓的危险因素众多,临床需早期识别危险因素,加强评估与管理,以预防深静脉血栓的发生。

本文引用格式

张淑蓉 , 王芳 , 冯月 , 王琪 , 刘超凡 , 陈俊竹 . 老年髋部骨折患者围手术期深静脉血栓影响因素的meta分析[J]. 中国疗养医学, 2024 , 33(1) : 66 -72 . DOI: 10.13517/j.cnki.ccm.2024.01.015

Abstract

Abstract: Objective To refine the influence factors of perioperative deep vein thrombosis in elderly hip fracture patients and provide guidance for clinical personnel. Methods Through computer professional search of Web of Science, PubMed, Cochrane, EMbase, EBSCO, CNKI, Wanfang database, VIP database and CBM database on the influential factors of deep vein thrombosis in elderly patients with hip fracture until July 2, 2023, Data analysis was performed using RevMan5.4 software. Results A total of 40 articles were included, Involved in 13,247 patients, The incidence of deep vein thrombosis was 16.55%, Contains 27 influencing factors, The combined effect size of the 19 contributing factors was statistically significant (P <0.05), Among them, men, taking anticoagulants, albumin, and activated partial thromboplastin time (APTT) are the protective factors, Diabetes mellitus, hyperlipidemia, malignancy history, cerebrovascular history, peripheral vascular history, venous thromboembolism (VTE) history, combined medical diseases, smoking history, intertrochanteric fracture, long-term bed rest, injury to admission time, injury to surgery time, surgery time, blood transfusion are risk factors for perioperative deep vein thrombosis in elderly patients with hip fracture. Conclusion There are many risk factors for perioperative deep vein thrombosis in elderly patients with hip fracture, which requires early identification of risk factors and strengthened evaluation and management to prevent the occurrence of deep vein thrombosis.

参考文献

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