Influence of C-reactive protein change on risk prediction of deep vein thrombosis in total knee arthroplasty patients
10.3760/cma.j.issn.1674-2907.2018.29.004
- VernacularTitle:膝关节置换术患者C反应蛋白变化及对下肢深静脉血栓风险评估的影响
- Author:
Bingdu TONG
1
;
Na GAO
;
Jia LIU
;
Ying JIANG
;
Yaping CHEN
;
Xiaojie WANG
;
Yuan XU
;
Haibo DENG
;
Yufen MA
Author Information
1. 中国医学科学院 北京协和医院骨科
- Keywords:
Arthroplasty,replacement,knee;
Deep vein thrombosis;
C-reactive protein;
Risk assessment
- From:
Chinese Journal of Modern Nursing
2018;24(29):3490-3494
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the trend of C-reactive protein in patients underwent total knee arthroplasty, and to seek the best time to assess the risk of deep vein thrombosis (DVT) in order to guide clinical nursing. Methods A total of 1 316 patients underwent total knee arthroplasty from January 2015 to December 2017 were studied to observe the occurrence of DVT. Patients were divided into DVT group (n=297) and non-DVT group (n=1 019). The C-reactive protein was compared between the two groups before operation, 1 to 7 days and 14 days after operation. Results Within 3 months after operation, the incidence of DVT in total knee arthroplasty patients was 22.57% (297/1 316). Symptomatic DVT occurred in 34 patients during hospitalization and asymptomatic DVT occurred in 263 patients within 3 months after operation. The levels of C-reactive protein in the DVT group were higher than those in the non-DVT group since the 3rd day after operation, and the differences were statistically significant (P＜ 0.05). Conclusions The level of C-reactive protein in patients with DVT is higher than that in patients without DVT. Medical staff should use various measures to prevent DVT, and dynamically observe changes in C-reactive protein to facilitate the early identification of DVT.
