Venous thromboembolism-related factors of inpatients with plastic surgery in perioperative period
10.3760/cma.j.issn.1671-0290.2023.04.014
- VernacularTitle:整形外科住院患者围手术期静脉血栓栓塞症的相关因素研究
- Author:
Hongyu CHI
1
;
Xianglin DONG
Author Information
1. 新疆医科大学第一附属医院整形外科，乌鲁木齐 830011
- Keywords:
Venous thromboembolism;
Perioperative period;
Risk factors;
Preventive measures;
Plastic surgery
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2023;29(4):308-311
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the related factors of perioperative venous thromboembolism (VTE) in inpatients of plastic surgery and to take individualized preventive measures to reduce the incidence of perioperative VTE in clinical practice.Methods:From January 2021 to June 2021, 127 patients without VTE were hospitalized in the Department of Plastic Surgery of the First Affiliated Hospital of Xinjiang Medical University, including 72 males and 55 females, aged 18-88 (62.2±14.0) years. The patients were divided into 23 cases in the VTE group and 104 cases in the non-VTE group according to whether VTE occurred in the perioperative period. The general data, etiology, underlying diseases, treatment modalities and blood indexes of the two groups were analyzed to summarize the independent influencing factors of VTE occurring in the perioperative period in plastic surgery.Results:Age, hypertension, diabetes, chronic skin ulcers, and length of surgery were risk factors associated with the development of perioperative VTE, (χ 2/ t=17.77, 8.24, 5.22, 25.55, 2.82, P<0.05). BMI ≥ 24 kg/m 2, general anaesthesia and short braking days were independent factors influencing the development of VTE in the perioperative period in plastic surgery inpatients, OR values were 8.908, 13.197, 0.042; P<0.05, respectively. Conclusions:BMI ≥ 24 kg/m 2 and general anaesthesia are the independent risk factors of plastic surgery in perioperative period developing VTE, short braking days is a protective factor against VTE in the perioperative period of plastic surgery. Clinicians should adequately assess the occurrence of perioperative VTE in plastic surgery inpatients and give early and individualized preventive measures.
