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淋巴瘤患者化疗后发生血栓栓塞的危险因素及其临床意义。

Risk Factors of Thromboembolism in Lymphoma Patients Undergoing Chemotherapy and its Clinical Significance.

机构信息

Department of Thoracic Oncology, Linfen Central Hospital, Linfen, China.

Bethune Hospital Affiliated to Shanxi Medical University, 576225Shanxi Bethune Hospital, Taiyuan, China.

出版信息

Clin Appl Thromb Hemost. 2021 Jan-Dec;27:10760296211037923. doi: 10.1177/10760296211037923.

Abstract

This study investigated the risk factors of thromboembolism (TE) in lymphoma patients undergoing chemotherapy and its clinical significance. A total of 304 lymphoma patients who received chemotherapy from January 2012 to July 2019 were retrospectively analyzed, including 111 patients with and 193 patients without TE. The clinical characteristics and related laboratory test results were compared between the 2 groups using univariate analysis, while the risk factors for TE in lymphoma patients undergoing chemotherapy were analyzed using multivariate logistic regression analysis. Univariate analysis revealed an increase in the risk of TE among lymphoma patients with chemotherapy in the following categories: female patients, patients with body mass index <18.5 or > 24, patients aged ≥60 years, those with platelet abnormality before chemotherapy, single hospital-stay patients, and Ann Arbor stage III/IV patients. Multivariate logistic regression analysis revealed that for platelet count abnormality before chemotherapy, Ann Arbor stage III/IV and female patients represented independent risk factors for TE among lymphoma patients after chemotherapy ( < .05). For lymphoma patients treated with chemotherapy, the risk of TE occurring in women, patients with platelet abnormalities before chemotherapy, and patients at Ann Arbor stage III/IV was significantly higher compared with other patients. For these patients, we recommend prophylactic anticoagulant therapy.

摘要

本研究旨在探讨接受化疗的淋巴瘤患者发生血栓栓塞症(TE)的危险因素及其临床意义。回顾性分析了 2012 年 1 月至 2019 年 7 月期间接受化疗的 304 例淋巴瘤患者,其中 111 例患者发生 TE,193 例患者未发生 TE。采用单因素分析比较两组患者的临床特征和相关实验室检查结果,采用多因素 logistic 回归分析化疗后淋巴瘤患者发生 TE 的危险因素。单因素分析显示,在以下几类接受化疗的淋巴瘤患者中,TE 的发生风险增加:女性患者、体质量指数(BMI)<18.5 或>24、年龄≥60 岁、化疗前血小板异常、单次住院患者和 Ann Arbor 分期 III/IV 期患者。多因素 logistic 回归分析显示,化疗前血小板计数异常、Ann Arbor 分期 III/IV 期和女性是化疗后淋巴瘤患者发生 TE 的独立危险因素( < .05)。对于接受化疗的淋巴瘤患者,与其他患者相比,女性、化疗前血小板异常和 Ann Arbor 分期 III/IV 期的患者发生 TE 的风险明显更高。对于这些患者,建议预防性抗凝治疗。

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本文引用的文献

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Epidemiology of venous thromboembolism.静脉血栓栓塞症的流行病学
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