Wells评分及D-二聚体测定在高龄髋部骨折患者围术期下肢深静脉血栓预测中的应用价值
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[摘要]目的 探讨Wells评分及D-二聚体测定在高龄髋部骨折患者围术期下肢深静脉血栓(DVT)预测中的应用价值。方法 回顾性分析2016年1月~2017年7月我院收治的58例高龄髋部骨折患者的临床资料,按照是否发生DVT分为未发生组(36例)与发生组(22例),两组均进行Wells评分及D-二聚体测定。比较两组患者血清中D-二聚体水平以及Wells评分。结果 发生组Wells评分>1分的阳性率为86.4%,高于未发生组的5.6%,差异有统计学意义(P<0.05);发生组患者血清中的D-二聚体阴性率为0.9%,低于未发生组的91.7%,差异有统计学意义(P<0.05)。结论 高龄髋部骨折患者围术期Wells评分及D-二聚体水平可用于下肢DVT临床诊断。
[关键词]骨折;围术期;D-二聚体;静脉血栓;Wells评分
[中图分类号] R274.12 [文献标识码] A [文章编号] 1674-4721(2019)2(a)-0118-03
[Abstract] Objective To explore the application value of Wells score and D-dimer in the prediction of perioperative deep venous thrombosis (DVT) of lower limbs in elderly patients with hip fracture. Methods A retrospective analysis was made on 58 elderly patients with hip fracture treated in our hospital from January 2016 to July 2017, they were divided into non-occurrence group (36 cases) and occurrence group (22 cases) according to whether DVT of lower extremities occurred or not, wells score and D-dimer were measured in both groups. Serum D-dimer levels and Wells scores were compared between the two groups. Results The positive rate of Wells score>1 in the occurrence group was 86.4%, which was higher than 5.6% in the non-occurrence group, the difference was statistically significant(P<0.05). The negative rate of D-dimer was 0.9% in the non-occurrence group, which was lower than 91.7% in the ...
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