Seasonal variation in the occurrence of deep venous thrombosis after total hip and knee arthroplasty

doi:10.3969/j.issn.2095-4344.2014.13.006

Abstract

Abstract:

BACKGROUND: Deep vein thrombosis and pulmonary embolism are certainly related to seasons.
OBJECTIVE: To analyze whether there is a seasonal pattern for deep venous thrombosis (DVT) after total hip and knee arthroplasty.
METHODS: We retrospected 866 patients (1 114 joints) underwent total hip and knee arthroplasty. There were 506 cases of total hip arthroplasty, including 287 male cases and 219 female cases, and 608 cases of total knee arthroplasty, including 133 male cases and 475 female cases. The average age was (60.98±0.87) years. After arthroplasty, patients were given color Doppler ultrasound in the deep veins of the lower limbs and pelvis to analyze the correlation between occurrence of deep vein thrombosis and seasons.
RESULTS AND CONCLUSION: There was a significant difference in the incidence of deep vein thrombosis in summer and winter (χ²=7.190, P=0.007), in summer and spring (χ²=6.995, P=0.008), as well as in summer and autumn (χ²=5.663, P=0.017). No statistical differences were tested in spring and autumn, in autumn and winter, and in spring and winter (P > 0.05). These findings indicate that there is a seasonal variation of deep venous thrombosis after arthroplasty, and the highest incidence of deep vein thrombosis is in winter.

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

全文链接：

Key words: arthroplasty, replacement, hip, prostheses and implants, venous thrombosis, seasons

CLC Number:

R318

Qiao Zhi, Wang Yi-sheng, Yin Li, Chen Qiang, Wang Yong-sheng, Wang Xiu-li, Zhang Chi. Seasonal variation in the occurrence of deep venous thrombosis after total hip and knee arthroplasty[J]. Chinese Journal of Tissue Engineering Research, 2014, 18(13): 2000-2005.

Figures/Tables 4

References

[1] Learmonth ID, Young C, Rorabeck C. The operation of the century: total hip replacement. Lancet.2007;370(9597):1508-1519.

[2] De Geest T,Vansintjan P,De Loore G.Direct anterior total hip arthroplasty: complications and early outcome in a series of 300 cases. Acta orthopaedica Belgica.2013;79(2):166-173.

[3] 袁艾东,蔡道章,王昆,等.影响全膝人工关节置换术后疗效的相关因素分析[J].中国修复重建外科杂志,2007,21(3):235-239.

[4] 余正红,蔡胥,李鉴轶,等.膝关节置换术中腓总神经损伤的原因与预防[J].中国矫形外科杂志,2008,16(11):807-810.

[5] 肖丹,郑秋坚,廖俊星,等.全髋关节置换后股骨假体柄周围骨折15例:按Vancouver方法分类治疗[J].中国组织工程研究与临床康复,2009,13(4):767-770.

[6] 李晓淼,王伟力.全膝关节置换后假体周围骨折的治疗进展[J].中国组织工程研究与临床康复,2009,13(13):2527-2530.

[7] 朱兴阳,苏海涛,黄永明,等.全膝关节置换后股骨假体周围的骨折[J].中国组织工程研究,2013,17(39):6887-6895.

[8] 方恺.人工膝关节置换后的假体周围感染[J].中国组织工程研究与临床康复,2010,14(30):5650-5653.

[9] 杜少华,黄强开,白洁玉,等.关节置换术后假体周围感染的诊断[J].医学综述,2012,18(14):2199-2201.

[10] 方镇洙,舒帆,杨荣,等.人工膝关节置换术后关节不稳定[J].实用骨科杂志,2012,18(1):37-41.

[11] Brunelli A.Deep vein thrombosis/pulmonary embolism: prophylaxis, diagnosis, and management. Thoracic surgery clinics.2012;22(1):25-28.

[12] 臧学慧,查振刚,冯永洪,等.全髋关节置换后早期并发深静脉血栓的多因素Logistic回归分析[J].中国组织工程研究与临床康复, 2010,14(17):3054-3057.

[13] 范少地,王晓坤,白峰,等.膝关节置换后应用药物预防血栓形成的对比研究与国际分析[J].中国组织工程研究,2012,16(9): 1661-1670.

[14] 鲁宁,Eduardo A. Salvati.髋膝关节置换术后血栓性疾病预防[J].中国骨肿瘤骨病,2011,10(3):303-310.

[15] 李少斐,赵建宁,郭亭,等.围关节置换期并发血栓的诊断与治疗[J].中国组织工程研究 ,2013,(48):8401-8406.

[16] 唐颖,郭庆山,赵玉峰,等.创伤骨折并发下肢深静脉血栓的危险因素分析[J].中华创伤杂志,2010,26(12):1122-1125.

[17] 邱天,郭曙光,方伟,等.下肢深静脉血栓发病的高危因素[J].中华医学杂志,2013,93(29):2279-2282.

[18] Piovella F, Wang CJ, Lu H, et al. Deep-vein thrombosis rates after major orthopedic surgery in Asia. An epidemiological study based on postoperative screening with centrally adjudicated bilateral venography. J Thromb Haemost.2005; 3(12): 2664-2670.

[19] 吕厚山,徐斌.人工关节置换术后下肢深静脉血栓形成[J].中华骨科杂志,1999,19(3): 155- 156.

[20] 邱贵兴.中国骨科大手术静脉血栓栓塞症预防指南[J].中华骨科杂志,2009,29(6):602-604.

[21] Fares A. Winter cardiovascular diseases phenomenon. N Am J Med Sci.2013;5(4): 266-279.

[22] 郭慧芳,常亚,尹安春，等.急性脑梗死患者入院时间的季节性分析[J].中国卫生统计,2010,27(2):159-160.

[23] Fustinoni O,Saposnik G,Esnaola Y,et al.Higher frequency of atrial fibrillation linked to colder seasons and air temperature on the day of ischemic stroke onset. J Stroke Cerebrovasc Dis. 2013;22(4):476-481.

[24] Ribeiro DD, Lijfering WM, Rosendaal FR, et al. Seasonal Variation of Venous Thrombosis: A Consecutive Case Series within Studies from Leiden, Milan and Tromso: Reply to a Rebuttal. J Thromb Haemost.2013;11(3): 570-572.

[25] Dentali F, Ageno W, Rancan E,et al. Seasonal and Monthly Variability in the Incidence of Venous Thromboembolism. A Systematic Review and a Meta-Analysis of the Literature. Thromb Haemost.2013;106(3): 439-447.

[26] 周斌,尚丹,李毅清，等.下肢深静脉血栓形成的季节性分析[J].华中科技大学学报：医学版，2009,38(2):273-276.

[27] Wroblewski MB, Siney PD, White R. Fatal pulmonary embolism after total hip arthroplasty. Clin Orthop Rel Res. 1992; 276: 222-224

[28] 马骊,王欣,蒋丽华.人工髋关节置换后的深静脉血栓形成:发生因素及其预防策略[J].中国组织工程研究与临床康复,2010,14(9): 1677-1680.

[29] 彭志平,林云.彩超对下肢骨折术前深静脉血栓筛查的意义[J].中国超声医学杂志, 2013,29(2):167-169.

[30] Manfredini RD,Imberti M,Gallerani M,et al.Seasonal Variation in the Occurrence of Venous Thromboembolism: Data from the Master Registry.Clin Appl Thromb Hemost.2009;15(3): 309-315.

[31] Stein PD, Kayali F, Olson RE.Analysis of occurrence of venous thromboembolic disease in the four seasons. Am J Cardiol.2004;93(4):511-513.

[32] Gallerani M, Boari B, de Toma D, et al.Seasonal variation in the occurrence of deep vein thrombosis. Med Sci Monit.2004; 10(5):CR191-196.

[33] 王健,史占军.关节置换院前持续抗栓患者围手术期抗凝策略分析(附8例报告)[J].中华关节外科杂志：电子版,2012,6(5): 802-807.

[34] 康汇,黄小强,廖永华,等.抗凝并早期被动活动预防关节置换术后下肢深静脉血栓形成[J].陕西医学杂志,2008,37(6):669-671.

[35] 孙智文.利伐沙班对髋、膝关节置换术后抗凝疗效的临床观察[J].中华损伤与修复杂志:电子版,2011,6(2):247-250.

[36] Gallerani M,Reverberi R,Salmi R,et al.Seasonal variation of platelets in a cohort of Italian blood donors: a preliminary report. Eur J Med Res.2013;18:31.

[37] Miersch A, Vogel M, Gausche R, et al. Influence of seasonal variation on blood pressure measurements in children, adolescents and young adults. Pediatr Nephrol. 2013 ;28(12): 2343-2349.

[38] Floras JS. Blood pressure variability: a novel and important risk factor.Can J Cardiol. 2013;29(5):557-563.

[39] Lindqvist PG, Epstein E, Olsson H.Does an Active Sun Exposure Habit Lower the Risk of Venous Thrombotic Events? A D-Lightful Hypothesis. Thromb Haemost.2009;7(4): 605-610 .

[40] Bertone-Johnson ER. Vitamin D and the Occurrence of Depression: Causal Association or Circumstantial Evidence. Nutr Rev.2009;67(8):481-492.

[41] Puglisi JP,Vitamin D. New implications for mood and blood pressure.Nurse Pract. 2013;38(12):47-52.

[42] 唐泓源,张黎明,皮红英,等.系统早期活动方案降低关节置换术后深静脉血栓形成风险的研究[J].中华护理杂志,2007,42(11):965- 968.

[43] 李春敏,张金庆,崔亚南,等.不同长度梯度压力袜对预防关节置换术后下肢深静脉血栓形成的效果研究[J].护士进修杂志, 2012, 27(23): 2200-2201.

[44] 刘娟.间歇充气压力泵与TED压力袜联合应用预防骨科下肢手术后深静脉血栓形成的安全性及有效性[J].中国实用护理杂志, 2013,29(9):30-33.

[45] 应春柳,何玉珍,胡伊群,等.低分子肝素联合间歇使用充气压力泵预防髋关节置换术后下肢深静脉血栓形成的护理[J].护理与康复, 2013,12(1):41-42.

[46] 杨爱玲,陈燕,陈丽君,等.前瞻性干预对防治骨科大手术静脉血栓栓塞症的作用[J].临床骨科杂志,2012,15(1):116-117.

[47] 靖光武,叶树楠,杨述华,等.髋关节置换后利伐沙班与低分子肝素预防下肢深静脉血栓的比较[J].中国组织工程研究与临床康复, 2011,15(22):4028-4031.

[48] 蔡振存,常锦秋,朴成哲,等.髋膝关节置换术后应用利伐沙班和低分子肝素预防深静脉血栓的疗效比较[J].沈阳医学院学报, 2013, 15(2):94-95,104.

[49] M.R.LASSEN,B.L.DAVIDSON,A.GALLUS,等.口服Ⅹa因子直接抑制剂阿哌沙班预防全膝关节置换术后患者血栓形成的效果和安全性[J].中华关节外科杂志:电子版,2013,7(4):570-576.