【摘要】 目的 探讨骨关节围手术期下肢静脉血栓形成的影响因素。方法 随机抽取87例骨关节手术患者进行回顾性分析。采用修正的Geneva量表对患者进行评分，并行多因素分析。结果 87例患者中，年龄>65岁的61例（70.1%）、手术中使用止血带的65例（74.7%）、全身麻醉82例（94.3%）、手术时间>1小时的80例（92.0%）、麻醉时间>1.5小时的82例（94.3%）、麻醉复苏时间>1小时的73例（83.9%）、术后踝泵运动<250次/天的86例（98.9%）、有心血管疾病史的58例（66.7%）。结论年龄、手术中是否使用止血带、是否全身麻醉、手术时间、麻醉时间、术后踝泵运动等为下肢静脉血栓的独立高危因素。更多还原

【Abstract】 Object ive To explore the influencing factors of lower limb venous thrombosis during perioperative period of bone and joint surgery.M et hods 87 patients undergoing bone and joint surgery were randomly selected for retrospective analysis.Patients were scored with the Revised Geneva Scale and subjected to multivariate analysis.Result s Among the 87 patients,61(70.1%) were over65 years old,65(74.7%) used a tourniquet during surgery,82(94.3%) received general anesthesia,80(92.0%) had surgery time>1hour,8(94.3%) had anesthesia time>1.5 hours,73(83.9%) had anesthesia recovery time>1 hour,86(98.9%) had ankle pump movement<250 times/day after surgery,and 58(66.7%) had a history of cardiovascular disease.Conclusion Age,use of tourniquet during surgery,general anesthesia,surgical time,anesthesia time,and postoperative ankle pump movement are independent high-risk factors for lower limb venous thrombosis.更多还原