Abstract

Lumbar internal fixation is a traditional surgical method for the treatment of degenerative diseases of the lumbar spine. However, due to its large surgical trauma, it easily causes complications such as deep venous thrombosis (DVT) after the operation. DVT refers to the abnormal coagulation of blood in deep veins, blocking the lumen, causing venous blood return disorder, causing venous blood return disorder to cause swelling and pain, which affects the recovery of the patient's lumbar spine function. In severe cases, even complicated pulmonary embolism endangers the life and health of the patient. Therefore, it is extremely important to explore the related influencing factors and effective treatment of DVT. The purpose of this study was to investigate the influencing factors and effective treatment of DVT after lumbar internal fixation. Univariate analysis and multivariate a logistic regression model were used to analyze the related factors affecting DVT after lumbar internal fixation. Conventional treatments such as anticoagulation, promotion of venous blood return, and improvement of limb circulation were given to patients with DVT, and functional exercise was guided to compare the hypercoagulability and hyperviscosity of blood in patients with DVT before and after treatment. The results showed that the incidence of DVT after lumbar internal fixation was related to age, BMI, and bed time. Getting out of bed for functional exercise in time after surgery can effectively prevent the formation of DVT. Preoperative grading examination, intraoperative intervention, postoperative physical exercise, and other preventive guidance can be carried out according to different individuals during the perioperative period to prevent the formation of postoperative DVT.

Highlights

  • Lumbar internal fixation is a traditional surgical method for the treatment of degenerative diseases of the lumbar spine

  • Univariate analysis and multivariate a logistic regression model were used to analyze the related factors affecting deep venous thrombosis (DVT) after lumbar internal fixation. Conventional treatments such as anticoagulation, promotion of venous blood return, and improvement of limb circulation were given to patients with DVT, and functional exercise was guided to compare the hypercoagulability and hyperviscosity of blood in patients with DVT before and after treatment. e results showed that the incidence of DVT after lumbar internal fixation was related to age, body mass index (BMI), and bed time

  • Multivariate logistic analysis showed that age, BMI, and time in bed were independent influencing factors of DVT after lumbar internal fixation (P < 0.05), as shown in Tables 2 and 3

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Summary

Introduction

Lumbar internal fixation is a traditional surgical method for the treatment of degenerative diseases of the lumbar spine. Lumbar internal fixation is a conventional surgical method for the treatment of degenerative lesions of the lumbar spine, but due to its large surgical trauma, it very causes complications such as deep venous thrombosis (DVT) after the operation [4,5,6]. DVT refers to the abnormal coagulation of blood in deep veins, blocking the lumen, leading to venous blood reflux disorder, resulting in venous blood reflux disorder causing swelling and pain, affecting the recovery of lumbar spine function of patients and even causing pulmonary embolism in severe cases endangering patients’ life and health [7,8,9,10]. DVT refers to the abnormal coagulation of blood in deep veins, blocking the lumen, leading to venous blood reflux disorder, resulting in venous blood reflux disorder causing swelling and pain, affecting the recovery of lumbar spine function of patients and even causing pulmonary embolism in severe cases endangering patients’ life and health [7,8,9,10]. erefore, it is extremely important to explore the relevant influencing factors and effective treatment methods for the formation of DVT. is study aims to explore the related factors and effective treatments of DVT after lumbar internal fixation. e detailed information is as follows

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