妇科恶性肿瘤围手术期下肢静脉血栓高危因素的筛查-妇产科学专业论文.docxVIP

万方数据 万方数据 目 录 中文摘要····························································································· （1） 英文摘要····························································································· （2） 论文题目····························································································· （4） 资料与方法·························································································· （5） 结果··································································································· （7） 讨论··································································································· （10） 结论··································································································· （12） 参考文献····························································································· （12） 文献综述····························································································· （15） 参考文献····························································································· （24） 缩略语表····························································································· （26） 攻读学位期间发表论文情况····································································· （27） 个人简历····························································································· （28） 致谢··································································································· （29） 内蒙古医科大学硕士研究生学位论文 内蒙古医科大学硕士研究生学位论文（2015） 1 中文摘要 目的:通过临床资料统计调查妇科恶性肿瘤患者围手术期的相关资料，探讨恶性肿瘤患 者发生深静脉血栓（Deep Vein Thrombosi ，DVT）的高危因素，为VTE的预防提供可靠 的临床数据。 方法：采用病例对照研究的方法，选择我院妇科 2009 年 1 月-2013 年 12 月行恶性肿瘤 手术患者的病例来筛查发生围手术期下肢静脉血栓的患者 20 例为病例组，并与同期恶 性肿瘤患者术后未发生血栓栓塞性疾病的(Venous Thromboembolism，VTE)61 例患者的 临床资料进行对比分析。单因素分析方法中，计量资料以±S 表示,计数资料以例数(构成 比)表示；计量资料的组间比较采用独立样本 t 检验；计数资料的组间比较采用χ2 检验, 检验水准:α =0.05。再利用 Logistic 回归模型研究危险因素与术后静脉血栓栓塞性疾 病的关系。 结果：两组患者在脂肪肝(χ2 = 12.595，P=0.025)、术中化疗(χ2 = 1.985,P=0.005)、术后 化疗(χ2=28.118，P=0.003)、围手术期给予止血药物(χ2=16.520,P=0.001)及术后给予预 防措