Elderly Patients With Hip Fracture Complicated With DVT Risk Factor Analysis

Objective: Clavicle In recent years, due to the domestic people livingstandard rise, leading people to obvious change in lifestyle and diet structure,followed by the incidence of lower extremity deep vein thrombosis isgradually rise, especially in traumatic fractures of the increase of incidence oflower extremity deep vein thrombosis in the crowd.DVT (deep venousthrombosis, DVT) is in the vein blood of abnormal coagulation and vascularlumen obstruction, cause vein circumfluence obstacle, and can cause a diseaseof venous insufficiency. Lower extremity deep vein thrombosis is the commondisease in clinical patients with traumatic fracture, is also a kind of highincidence, can cause fatal pulmonary embolism and thrombosissyndrome.Domestic and foreign scholars on the formation of lower limbvenous thrombosis in a lot of epidemiological and genetic studies, on theincidence of DVT and PE, mortality, and a lot of research on etiology andreports, agreed that all kinds of led to the mechanism of the risk factors ofthrombosis is caused damage in patients with venous duct, patients withvenous blood stream is slow, and make a patient’s blood high condensationstate three aspects, including any independent factors can lead to the formationof blood clots. Lower limb venous thrombosis caused limb swelling, ulcer andgangrene, secondary veins, clogged ulcer, pigmentation and severe dermatitis,seriously affect the prognosis of patients and quality of life; DVT once seriouscause pulmonary embolism (PE), can lead to death. Because most of the DVTin patients with early no obvious clinical symptoms, easily ignored by patientsand medical staff, therefore, effective nursing and prevention measures toavoid and reduce the formation of the lower extremity deep vein thrombosis,is extremely important in the clinical work.Due to the particularity oforthopaedic trauma patients, especially in elderly patients with hip fracture, because each viscera function in the elderly, complications such as diabetes,coronary heart disease, stroke, in the event of DVT, not only affect the choiceof the elderly patients admitted to hospital after treatment and delayed surgery,miss and even lost the best operation time, serious can appear thrombosis falloff causing life-threatening pulmonary embolism; The purpose of this paper isto discuss elderly patients (older than65years old) hip fracture complicatedwith lower limb deep vein thrombosis risk factors, provide a reference for theprevention of DVT hip fractures in older adults.The methods and clinical data:1.1general informationIn the2012-10-01to2014-01-01, our department treated were a total of624cases of patients with hip fracture, among which154were male, female287cases, aged65-101(75.6-6.9). Hip fracture patients,275patients withfemoral neck fracture, among which99were male, female176cases, aged65-99(721+/-6.3). Femoral fractures between rotor349cases, including114cases of male, female235cases, aged65-101(76.3-7.4).1.2data collectionThe general situation Including sex, body mass index (BMI) andcomplications (diabetes, coronary heart disease, hyperlipidemia, cerebralinfarction), injury type and fracture type.1.3diagnostic methods and standardsPatients admitted to hospital within48hours after intravenous of colordoppler ultrasound in patients with double lower limbs deep vein, the probecan be completely visible compression vein and no blood clots were negative,lumen cannot be compressed and embolus lumen is positive when imaging.1.4statistical analysisUsing SPSS13.0statistical analysis, on the same factors in different cases,the incidence of DVT chi-square test, P <0.05for the difference wasstatistically significant, and the occurrence of DVT in patients with differentage groups in individual orderly grouping data linear trend test.Results: in group data of624cases of elderly patients with hip fracture in210cases complicated with DVT, the total incidence of33.65%;13cases offemoral vein (2.08%),15cases of popliteal vein (2.40%), posterior tibial vein26cases (4.16%), unilateral calf muscle between vein in126cases (20.19%),bilateral calf muscular venous between55cases (8.81%), intravenous19cases(3.04%). With349cases patients with femoral fracture between the rotor and118cases complicated with DVT, the total incidence of33.81%,9cases offemoral vein (2.57%),9cases of popliteal vein (2.57%), posterior tibial vein15cases (4.92%), unilateral calf muscle between vein in67cases (19.19%),dual lateral crus muscle between veins29cases (8.81%), intravenous9cases(2.57%).275cases of patients with femoral neck fracture were received,among them92cases complicated with DVT, the total incidence was33.45%,the femoral vein in4cases (1.45%),6cases of popliteal vein (2.18%),posterior tibial vein in11cases (4.00%), unilateral calf muscular venousbetween59cases (21.45%), bilateral calf muscular venous between26cases(9.45%), intravenous10cases (3.63%). Results show that the incidence ofmale patients with DVT is significantly higher than female patients, theincidence of DVT increases with the increase of age has also been gradually,always have diabetes, high blood pressure, coronary heart disease, highcholesterol, the incidence of cerebral infarction patients with DVT is higherthan the overall level, injury in patients with type has no obvious relation withthe occurrence of DVT, elderly patients with hip fracture type has no obviousrelation with the occurrence of DVT, or femoral neck fracture andintertrochanteric fracture incidence of thrombosis has no obvious difference,over65elderly patients with no obvious difference was found between theincidence of DVT at different age.Conclusion: age, BMI, diabetes, hypertension, coronary heart disease,hyperlipidemia, cerebral infarction is a risk factor for DVT occurred;Incidence of male patients with DVT is significantly higher than femalepatients, the incidence of DVT increases with the increase of age has also beengradually; Over65elderly patients with DVT has nothing to do with the typeof injury, elderly patients with hip fracture type has no obvious relation with the occurrence of DVT, or femoral neck fracture and intertrochanteric fractureincidence of thrombosis has no obvious difference, and over65elderlypatients with DVT incidence is not increased with age.