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[1]姚 杰,孟尽海,王文娟,等.不同麻醉方法对骨科手术患者深静脉血栓形成的影响[J].宁夏医科大学学报,2013,(01):29-31,36.
 YAO Jie,MENG Jin-hai,WANG Wen-juan,et al.Effect of Different Anesthesia on Deep Venous Thrombosis after Orthopedic Surgery[J].Ningxia Medical University,2013,(01):29-31,36.
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《宁夏医科大学学报》[ISSN:1005-8486/CN:64-1029/R]

卷:
期数:
2013年01期
页码:
29-31,36
栏目:
论著
出版日期:
2013-01-20

文章信息/Info

Title:
Effect of Different Anesthesia on Deep Venous Thrombosis after Orthopedic Surgery
作者:
姚 杰1 孟尽海2 王文娟1 刘 斐1 吴 燕1 王春生1
1.宁夏医科大学,银川 750004; 2.宁夏医科大学总医院麻醉科,银川 750004
Author(s):
YAO Jie1 MENG Jin-hai2 WANG Wen-juan1 LIU Fei1 WU Yan1 WANG Chun-sheng1
1.Ningxia Med. Univ.,Yinchuan 750004; 2.Dept. of Anesthesiology, the General Hospital of Ningxia Med. Univ., Yinchuan 750004
关键词:
全身麻醉 椎管内麻醉 区域阻滞麻醉 深静脉血栓
Keywords:
general anesthesia spinal-epidural anesthesia regional block anesthesia deep venous thrombosis
分类号:
R614
DOI:
-
文献标志码:
A
摘要:
目的 研究不同麻醉方法对深静脉血栓(DVT)的影响。方法 以4892例骨科住院患者病例资料为研究对象进行回顾性分析,比较全身麻醉组、椎管内麻醉组、区域阻滞组DVT的发生率。结果 4892例患者中204例发生DVT,总发生率为4.17%,全麻组DVT的发生率高于椎管内组、区域阻滞组和未行麻醉组(P<0.01); 椎管内组DVT的发生率高于区域阻滞组(P<0.05)。区域阻滞组和未行麻醉组DVT的发生率相当,差异无统计学意义(P>0.05)。全身麻醉组患者术后白细胞、中性粒细胞、单核细胞计数高于椎管内麻醉组和区域阻滞麻醉组(P<0.05)。结论 全身麻醉后患者深静脉血栓的发生率最高,椎管内麻醉次之,区域阻滞麻醉和未行麻醉者相当。全身麻醉较椎管内麻醉、区域阻滞麻醉和未行麻醉患者炎症细胞数升高。
Abstract:
Objective To investigate the effects of different anesthesia on deep venous thrombosis(DVT)after orthopedic surgery. Methods Charts from consecutive patients who underwent orthopedic surgery from January 1, 2008, to December 31, 2010, at a large Chinese teaching hospital were reviewed using standardized case report forms. The incidence of DVT after orthopedic surgery in general anesthesia, spinal-epidural anesthesia and regional block anesthesia were compared. Results This investigation included 4892 patients and 204 patients developed DVT(incidence= 4.17%). The incidence of DVT in the group of general anesthesia was higher than in those of spinal-epidural anesthesia, regional block anesthesia and no anesthesia(P<0.01). The incidence of DVT in the group of spinal-epidural anesthesia was higher than in that of regional block anesthesia(P<0.05).There was no statistically significant in the incidence of DVT between spinal-epidural anesthesia and no anesthesia(P>0.05).The counts of white blood cell, neutrophil and monocyte of the group after general anesthesia were higher than those of spinal-epidural anesthesia and regional block anesthesia(P<0.05). Conclusion The incidence of DVT in the group of general anesthesia is higher than spinal-epidural anesthesia. In addition, regional block anesthesia and no anesthesia were similar. Inflammatory cell in the group of general anesthesia are higher than that in group of spinal-epidural anesthesia, regional block anesthesia and no anesthesia.

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期:2012-07-12 作者简介:姚杰(1982-),男,宁夏人,在读硕士研究生,从事临床麻醉工作。 通信作者:孟尽海,男,主任医师,教授,从事临床麻醉工作。
更新日期/Last Update: 2013-01-20