摘要目的:探讨整形外科住院患者围手术期发生静脉血栓栓塞症(venous thromboembolism，VTE)的危险因素。方法:2021年1—6月，新疆医科大学第一附属医院整形外科住院无VTE患者127例，其中男72例，女55例，年龄18~88(62.2±14.0)岁。根据围手术期是否发生VTE分为VTE组23例和非VTE组104例，分析两组患者一般资料、病因、基础疾病、治疗方式、血液指标等因素，总结整形外科围手术期发生VTE的独立影响因素。结果:年龄、高血压、糖尿病、慢性皮肤溃疡、手术时长是VTE发生的相关危险因素(χ 2/ t＝17.77、8.24、5.22、25.55、2.82，均 P<0.05)。体重指数≥24 kg/m 2、全身麻醉、制动天数缩短是整形外科住院患者围手术期发生VTE独立影响因素( OR值分别为8.908、13.197、0.042，均 P<0.05)。 结论:体重指数≥24 kg/m 2、全身麻醉是整形外科围手术期发生VTE的危险因素，制动天数缩短可作为保护因素。临床应对整形外科住院患者围手术期VTE的发生进行充分评估，早期给予个体化预防措施。

abstractsObjective:To investigate the related factors of perioperative venous thromboembolism (VTE) in inpatients of plastic surgery and to take individualized preventive measures to reduce the incidence of perioperative VTE in clinical practice.Methods:From January 2021 to June 2021, 127 patients without VTE were hospitalized in the Department of Plastic Surgery of the First Affiliated Hospital of Xinjiang Medical University, including 72 males and 55 females, aged 18-88 (62.2±14.0) years. The patients were divided into 23 cases in the VTE group and 104 cases in the non-VTE group according to whether VTE occurred in the perioperative period. The general data, etiology, underlying diseases, treatment modalities and blood indexes of the two groups were analyzed to summarize the independent influencing factors of VTE occurring in the perioperative period in plastic surgery.Results:Age, hypertension, diabetes, chronic skin ulcers, and length of surgery were risk factors associated with the development of perioperative VTE, (χ 2/ t=17.77, 8.24, 5.22, 25.55, 2.82, P<0.05). BMI ≥ 24 kg/m 2, general anaesthesia and short braking days were independent factors influencing the development of VTE in the perioperative period in plastic surgery inpatients, OR values were 8.908, 13.197, 0.042; P<0.05, respectively. Conclusions:BMI ≥ 24 kg/m 2 and general anaesthesia are the independent risk factors of plastic surgery in perioperative period developing VTE, short braking days is a protective factor against VTE in the perioperative period of plastic surgery. Clinicians should adequately assess the occurrence of perioperative VTE in plastic surgery inpatients and give early and individualized preventive measures.