Evaluation and management of DVT risk during the perioperative period of BPH by combining color Doppler ultrasound of lower limbs with modified Caprini score
XU Da-jin SHEN Si-yao LI Zhi-qiang ZHAO Hong ZENG Xiao-chun CHEN Ting-ting
Department of Ultrasound Medicine,Jiangxi Provincial Integrated Traditional Chinese and Western Medicine Hospital,Jiangxi Province,Nanchang 330000,China
Abstract：Objective To explore the risk assessment and management of deep vein thrombosis (DVT) of lower limbs risk during the perioperative period of benign prostatic hyperplasia (BPH) combined with modified Caprini score,and to provide reference for the formulation of clinical intervention programs.Methods A total of 80 male patients with BPH admitted to Jiangxi Provincial Hospital of Integrated Traditional Chinese and Western Medicine from January 2015 to December 2018 were selected as the research objects.The risk of DVT was evaluated by modified Caprini score before the operation and graded management was carried out.1 month after the operation,the occurrence of DVT was detected by lower limb vein color ultrasound.Results Among the 80 male patients with BPH,there were 42 patients in the lowrisk group,24 patients in the medium-risk group and 14 patients in the high-risk group.After 1 month of follow-up,10 cases occurred DVT by the examination of color Doppler ultrasound of lower limbs.The positive rate of DVT in the high-risk group was higher than that in the medium-risk group,and the modified Caprini score was higher than that in the low-risk group and the medium-risk group,the occurrence time of DVT was shorter than that in the intermediaterisk group,and the difference were statistically significant (P<0.05).The sensitivity and specificity of DVT were all 100% with the threshold value of moderate risk (3-4 points),and the evaluation effect was relatively good.Conclusion The use of modified Caprini score risk assessment model to screen for DVT in patients with BPH during the perioperative period can effectively predict the occurrence of DVT,and the modified Caprini score has a higher value with moderate risk (3-4 points) as the evaluation threshold.
徐达津；沈思瑶；李志强；赵红；曾晓春；谌婷婷. 下肢静脉彩超联合改良Caprini评分对BPH围手术期DVT风险的评估和管理[J]. 中国当代医药, 2021, 28(4): 144-146.
XU Da-jin； SHEN Si-yao； LI Zhi-qiang ；ZHAO Hong ；ZENG Xiao-chun ；CHEN Ting-ting. Evaluation and management of DVT risk during the perioperative period of BPH by combining color Doppler ultrasound of lower limbs with modified Caprini score. 中国当代医药, 2021, 28(4): 144-146.
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