《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2018, Vol. 24 ›› Issue (2): 191-195.doi: 10.3969/j.issn.1006-9771.2018.02.014

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Features and Related Factors for Deep Venous Thrombosis in Patients with Traumatic Paraplegia during Early Rehabilitation

LIU Hong-wei2, LIU Lu2, LI Jun2, FENG Bing, YANG De-gang2, FENG Yu-tong2, DU Liang-jie2   

  1. 1. a. Department of Spinal and Neural Functional Reconstruction; b. Department of Ultrasonography, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China;
    2. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China;
  • Received:2018-01-05 Revised:2018-01-19 Published:2018-02-25 Online:2018-03-02
  • Contact: DU Liang-jie. E-mail:strongneck@qq.com

Abstract: Objective To retrospectively analyze the features and related factors of deep venous thrombosis (DVT) in patients with traumatic paraplegia during early rehabilitation.Methods Inpatients of our hospital from June, 2014 to June, 2017 were included and patients with traumatic paraplegia during early rehabilitation were analyzed. The clinical information, lower limbs deep vein ultrasonic testing and laboratory examination were collected to analyze features and related factors of DVT.Results A total of 269 patients with traumatic paraplegia during early rehabilitation were analyzed and 62 patients had DVT in lower limbs (23.0%), in which 50 patients had an isolated distal DVT and 28 cases occurred in bilateral lower limbs (45.2%). No patients younger than 14 had DVT in lower limbs (n=31). Logistic regression analysis showed that increased D-dimer (OR=1.348, 95% CI 1.193~1.525), advanced age (OR=3.450, 95% CI 1.372~8.674), male (OR=2.872, 95% CI 1.095~7.533) and diabetes (OR=5.319, 95% CI 1.094~25.872) were independent related factors for DVT.Conclusion The incidence of DVT in lower limbs of traumatic paraplegia patients during early rehabilitation is high. DVT develops mainly distally to the popliteal vein and bilaterally of lower limbs. Prepubertal children have a low incidence of DVT. Increased D-dimer, advanced age, male and diabetes are independent related factors for DVT.

Key words: spinal cord injury, deep venous thrombosis, related factors, Doppler ultrasound, rehabilitation

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