Analysis of clinical factors of venous thrombosis in patients with spinal cord injury

English Keywords:Spinal cord injury  Venous thrombosis  Related clinical factors

English Abstract:

  【Abstract】 Objectives: To analyze clinical features of spinal cord injury patients with venous thrombosis, in order to provide better prevention and treatment for these patients. Methods: 165 patients with spinal cord injury in rehabilitation department of our hospital from December 2013 to January 2015 were retrospectively collected and analyzed. The information included age, sex, history, cause, fracture status(no fracture, simple vertebrae fracture and multiple fracture), degree(ASIA grade) and level(C1-C7, T1-T12 and L1-S5) of spinal cord injury, complications, operation time and rehabilitation intervention time, etc. The results of this study were statistically analyzed by SPSS 17.0 statistical software. The chi-square test was used to count the data, and the standard α=0.05, P<0.05 was regard to be statistically different. Two categories of Logistics regression analysis were used to analyze the related risk factors, if P<0.05 showed there was statistical difference. Results: There were no significant differences in age, history, gender and clinical complications between two groups(P>0.05). According to the operation time, there was statistical difference between two groups by single factor analysis(χ2＝8.682, P=0.034), but there was no significant difference by regression analysis(OR=0.432, P＝0.149). There were significant differences in fracture status(OR=2.526), degree of spinal cord injury(OR=-0.637) and time of rehabilitation(OR=-0.706) between two groups(P<0.05). Conclusions: The risks of venous thrombosis are significant high among those patients who suffered from severe injury and multiple fracture. Early rehabilitation and comprehensive prevention and management measures are conducive to reduce venous thrombosis and promote functional recovery.