| Objective:Investigate the patients with lower extremity varicose veins to obtain these patients' basic situation and clinical characteristics. Discussed the influence factors of severity of illness and proposed the strategies and measures for prevention and treatment of lower extremity varicose veins. Improved the treatment effection and the life quality of patients with lower extremity varicose veins and provided scientific evidence. Methods:Patients with lower extremity varicose veins of a hospital in Changchun from April, 2015 to April, 2016 were selected as the research object. According to the inclusion and exclusion criteria, collected hospitalized patients' general information and clinical indicators of disease by designing the questionnaire and consulting the electronic cases. General information include sex, age, job, education and lifestyle; clinical indicators of disease include sick parts, disease history, family history, body mass index, blood pressure, blood glucose, blood lipid and clinical classification. Built up database by Excel 2003, perform the statistical analysis by using SPSS 17.0 software. Data was described as constituent ratios, comparison between groups by chi-square test, and the influence factor of severity of illness analysis using logistics regression. The difference was statistically significant(P<0.05). Results:1. General information of patients: The youngest patient is 19 years old, and the oldest was 76, the average age was 56.4 ± 10.9 years old. The percent of Young patients was 13.4%, Middle aged patients was 69.8%, and elderly patients was 16.8%.The percent of male was 48.0%, female was 52.0% and the ratio was 1:1.08. The patients of sedentary work accounted for 19.3%, long standing work accounted for 67.8%, the nature of work and position independent patients accounted for 12.9%.Patients with primary and secondary education level accounted for 22.3%, 61.9% of patients with secondary education level, and 15.8% of patients with higher education level.2. Living habits of patients: In 202 patients, patients who have smoking history accounted for 20.8%; patients who have drinking history accounted for 15.8%; there were 27.7% of patients that have cold stimulus history.3. Clinical index of patients: In 202 patients, there were a total of 329 diseased limbs, patients who had lower extremity venous thrombosis in the past accounted for 2%; patients had laser treatment history accounted for 1%, patients had surgery treatment history accounted for 5.9%, patients with a history of sclerotherapy accounted for 5.9%, patients without history of treatment accounted for 87.2%; patients with chronic constipation history accounted for 7.9%; patients with chronic cough history accounted for 3%, patients with family history of lower extremity varicose veins accounted for 25.2%.Normal BMI patients accounted for 39.6%, overweight patients accounted for 53% of, obese patients accounted for 7.4%, patients with normal blood pressure accounted for 58.4%; patients with normal blood glucose accounted for 62.9%; patients with normal total cholesterol accounted for 82.2%, patients with normal triglyceride accounted for 58.9%, patients with normal high density lipoprotein accounted for 89.6%, patients with Normal low density lipoprotein accounted for 35.6%.Left lower extremity disease patients accounted for 19.3%, right lower extremity disease patients accounted for 17.8%, both lower extremity disease patients accounted for 62.9%;a total of 166 cases of patients with left lower extremity disease, non-alveolar insufficiency patients accounted for 10.3%, shallow and/or traffic venous insufficiency accounted for 50.6%, patients with deep venous insufficiency accounted for 6.6%, patients whose shallow and deep venous valve function and traffic are not fully accounted for 32.5%; 163 patients with right lower extremity disease, patients without alveolar insufficiency accounted for 13.5%, patients with shallow and / or traffic venous insufficiency accounted for 46%, patients with deep venous insufficiency accounted for 6.1%, patients who's the shallow and deep venous valve function and traffic are not fully accounted for 34.4%; CEAP grade C2 patients accounted for 12.9%, C3 patients accounted for 23.8%, C4 patients accounted for 49.5%, C5 patients accounted for 4.5%, C6 patients accounted for 9.4%.4. Analysis of influencing factors on the severity of lower extremity varicose vein: in the 329 diseased limbs, 159 diseased limbs' severity of the disease was lighter, and 170 diseased limbs' severity of the disease was heavier. Patients education level, blood pressure, and valve insufficiency were statistically significant(P<0.05), which were the influencing factors of the severity of the disease. The severity of lower extremity varicose vein patients with elementary education or below is 2.387 times higher than patients with higher education. The severity of lower extremity varicose vein patients with abnormal blood pressure is 2.454 times higher than patients with normal blood pressure. The severity of lower extremity varicose vein patients with traffic or shallow venous valve insufficiency is 3.908 times higher than patients without traffic or shallow venous insufficiency. The severity of lower extremity varicose vein patients with shallow, deep and traffic venous valve insufficiency is 7.051 times higher than patients without venous valve insufficiency. Conclusion:1. Patients with lower extremity varicose veins were mainly 45~65 years old, the ratio of male to female is similar, and the nature of the job is mainly long-term standing.2. A portion of patients have habits of smoking, drinking and cold stimulation.3. The location of the disease is often double lower limbs, the difference between left and right is not obvious. The number of the patients with superficial and/or traffic venous valve insufficiency were the most, followed by patients with deep, superficial, and traffic venous valve insufficiency.4. The severity of lower extremity varicose veins has great influence on the treatment and prognosis, and the level of education; blood pressure and valve insufficiency are the important factors that affect the severity of varicose veins. |
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