心血管植入式电子装置导线相关静脉血栓形成的危险因素分析:112例报告
作者:
作者单位:

(1. 解放军总医院心血管内科,北京 100853;2. 济南军区青岛第二疗养院,青岛 266000)

作者简介:

通讯作者:

中图分类号:

基金项目:

军队重大项目(AWS13C008) 王妮娜,为共同第一作者


Risk factors for venous thrombosis related to the lead of cardiovascular implan-table electronic device:an analysis of 112 cases
Author:
Affiliation:

(1. Department of Cardiology, Chinese PLA General Hospital, Beijing 100853, China;2. Second Sanatorium of Qingdao, Jinan Military Command, Qingdao 266000, China)

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的 研究心血管植入式电子装置(CIED)导线相关静脉血栓形成的相关危险因素,为临床预防提供理论依据。方法 选取2013年9月至2015年12月解放军总医院心血管内科使用CIED且随访资料完整的住院患者112例,根据术后血管超声检查结果进行分组,血栓组56例,年龄(71.86±8.35)岁;非血栓组56例,年龄(71.23±10.62)岁,运用多因素logistic回归分析对CIED导线相关静脉血栓形成的危险因素进行分析。结果 两组房颤患者数、植入除颤导线患者数、服用抗凝药物患者数和左室射血分数、全血糖化血红蛋白水平以及手术中静脉穿刺次数、手术时间、导线数量相比较,差异均有统计学意义(P<0.05)。多因素logistic回归分析表明,房颤、术中静脉穿刺次数、手术时间及导线数量是CIED导线相关静脉血栓形成的危险因素,服用抗凝药物是保护因素。结论 房颤、静脉穿刺次数、手术时间及导线数量是CIED导线相关静脉血栓形成的独立危险因素。

    Abstract:

    Objective To analyze the risk factors for venous thrombosis related to the lead of cardiovascular implantable electronic device (CIED) in order to provide the theoretical basis for clinical prevention. Methods A total of 112 patients undergoing CIED implantation and with full follow-up data who hospitalized in our department from September 2013 to December 2015 were recruited in this study. According to the results of postoperative vascular ultrasound examination, they were assigned to the thrombosis group [n=56, at an age of (71.86±8.35) years] and the non-thrombosis group [n=56, at an age of (71.23±10.62) years]. Their clinical data were collected and retrospectively analyzed. Multivariate logistic regression analysis was applied to assess the risk factors of the related venous thrombosis. Results There were significant differences in the numbers of patients with atrial fibrillation, those with implanted defibrillator leads and those taking anticoagulant medications, the left ventricular ejection fraction, the serum level of glycosylated hemoglobin, as well as the times of venipuncture, operation time, and lead numbers between the thrombosis and the non-thrombosis groups (P<0.05). Multivariate logistic regression analysis showed atrial fibrillation, times of venipuncture, operation time and lead numbers were the risk factors for the related venous thrombosis, and administration of anticoagulant medications was the protective factor. Conclusion Atrial fibrillation, times of venipuncture, operation time and lead numbers are the independent risk factors for venous thrombosis related to CIED leads.

    参考文献
    相似文献
    引证文献
引用本文

兰凯,王妮娜,彭利,周叶,黄亚,张晔,苑洪涛,张玉霄,薛桥,卢才义.心血管植入式电子装置导线相关静脉血栓形成的危险因素分析:112例报告[J].中华老年多器官疾病杂志,2017,16(4):257~260

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2017-01-06
  • 最后修改日期:2017-01-21
  • 录用日期:
  • 在线发布日期: 2017-05-03
  • 出版日期: