Influencing factors on deep venous thrombosis in patients with permanent pacemaker implantation after operation

Abstract

Objective To explore the predictive factors and preventive nursing measures on deep venous thrombosis （ DVT） in patients with permanent pacemaker implantation after operation .Methods Four hundreds and twenty-five patients with permanent pacemaker implantation from January 2009 to December 2011 were retrospectively investigated , of which 32 patients suffered from DVT .The influencing factors on DVT in patients with permanent pacemaker implantation after operation were tested by the One -Way ANOVA analysis and multivariate logistic regression analysis .Results One-way ANOVA analysis showed that the age , BMI index, history of smoking, braking time after operation, history of DVT, diabetes, hypertension, coronary heart disease, atrial fibrillation, atrial flutter were all the risk factors on DVT in patients with permanent pacemaker implantation after operation （χ2 =8.43, 5.30, 11.86, 5.09, 17.66, 22.36, 4.69, 12.78, 32.52, respectively;P〈0.05）.The multivariate logistic regression analysis showed that the age , obesity, history of smoking, braking time after operation, history of DVT, all kinds of basis diseases were the predictive factors on DVT in patients with permanent pacemaker implantation after operation （OR=3.463, 3.584, 2.785, 4.844, 7.605, 4.052, respectively;P〈0.05）.Conclusions Appropriate preventive nursing measures aimed at the influencing factors should be taken to prevent and reduce DVT in patients with permanent pacemaker implantation after operation . Key words: Pacemaker,artificial; Pacemaker implantation; Deep venous thrombosis