《中国康复理论与实践》 ›› 2012, Vol. 18 ›› Issue (10): 960-961.

• 论文 • 上一篇    下一篇

完全性与不完全性颈髓损伤并发血栓栓塞症的对照研究

王立功1,张桂欣2,陈先1,卢占斌1,张军军1   

  1. 1.唐山市第二医院脊髓损伤科,河北唐山市063000;
  • 收稿日期:2012-05-23 修回日期:1900-01-01 出版日期:2012-10-25 发布日期:2012-10-25

Comparative Study of Complete and Incomplete Cervical Spinal Cord Injuries Complicated with Venous Thromboembolism

WANG Li-gong, ZHANG Gui-xin, CHEN Xian, et al   

  1. Department of Spinal Cord Injury, The Second Hospital of Tangshan City, Tangshan 063000, Hebei, China
  • Received:2012-05-23 Revised:1900-01-01 Published:2012-10-25 Online:2012-10-25

摘要: 目的探讨完全性与不完全性颈髓损伤并发血栓栓塞症的发生率。方法在2007 年1 月~2010 年12 月收治的177 例急性颈髓损伤患者,ASIA分级:A级52 例为观察组,B~D级125 例为对照组,均采用低分子肝素和康复治疗预防血栓栓塞症,比较两组并发血栓栓塞症的情况。结果观察组并发血栓栓塞症11 例(21.2%),对照组并发血栓栓塞症6 例(4.8%),两组比较具有显著性差异(P<0.05)。结论完全性颈髓损伤发生血栓栓塞症的危险性高于不完全性颈髓损伤。

关键词: 低分子量肝素, 脊髓损伤, 静脉血栓栓塞症

Abstract: Objective To study the incidence of venous thromboembolism (VTE) between complete and incomplete spinal cord injured patients. Methods 177 cases of acute cervical spinal cord injury were observed from April 2007 to July 2010. According to ASIA classification, 52 cases of grade A involved in observation group, while 125 cases of grades B~D involved in control group. Intervention included low molecular weight heparin and rehabilitation training. Incidence of VTE in two groups was compared. Results There was 11 cases complicated with VTE in the observation group (21.2%) while 6 cases in the control group (4.8%). There was a difference in incidence of VTE between two groups (P<0.05). Conclusion There is a higher incidence of VTE in complete than incomplete cervical spinal cord injury

Key words: low molecular weight heparin, spinal cord injury, venous thromboembolism