People who travel have nearly triple the normal risk of developing a dangerous blood clot, with a measurable increase for every two hours spent sitting in a car or wedged into an airline seat.

    They said the risk is serious enough to merit research into better ways to keep travelers healthy, although not severe enough to justify giving airline passengers anti-clotting drugs.

    Dr. Divay Chandra and colleagues at Harvard University in Boston looked specifically at venous thromboembolism -- the development of a blood clot in a vein, usually in the legs.

    Blood clots can also cause strokes and heart attacks when they form in arteries but VTEs can cause local damage or travel to the lung and kill.

    Chandra's team did what is called a meta-analysis, pooling the results of many different studies to see what they found collectively.

    They found 14 studies involving 4000 patients that met their criteria for quality.

    "Our findings demonstrate for the first time a clear association between travel and VTE," they wrote in their report, published in the Annals of Internal Medicine.

    Women who are pregnant or take birth control pills and the obese have an especially high risk, they found.

    The absolute risk is one case in every 4600 airline trips, they said. They noted that some studies have shown no risk of blood clots but said the way those studies were done could be questioned.

    "The findings of this report suggest that, at least among generally healthy individuals, even a three-fold increase in relative risk is unlikely to produce a sufficiently high absolute risk to justify higher-risk interventions, such as oral anticoagulation during travel," they wrote.

    But ensuring that people drink extra fluids and get up and move every two hours or so is worthwhile, they said.

    "Worldwide, 2.5 billion passengers will travel by air alone in 2010, which underscores the large global population at risk for this serious condition," they wrote.

    外出旅行者發(fā)生血凝塊的危險(xiǎn)幾乎是正常情況的三倍，乘坐汽車或飛機(jī)每?jī)蓚�(gè)小時(shí)可適度增加。

    他們說這個(gè)危險(xiǎn)嚴(yán)重性值得研究，用最好的方法保持旅行者健康，盡管不足以證明給旅行者抗凝藥物是正當(dāng)?shù)摹?/p>

    波士頓哈瓦德大學(xué)的大衛(wèi)，蟬扎醫(yī)生和他的同事特別地調(diào)查研究了靜脈血栓栓塞--靜脈凝血塊的形成通常在腿上。

    當(dāng)血凝塊在動(dòng)脈內(nèi)形成時(shí)也可導(dǎo)致中風(fēng)和心臟病，但是靜脈血栓栓塞能導(dǎo)致局部損傷或轉(zhuǎn)移到肺臟和死亡。

    蟬扎小組作了多次分析，把許多不同的研究結(jié)果匯集在一起來看他們發(fā)現(xiàn)的結(jié)果。

    他們找到14項(xiàng)研究牽涉到4000名滿足這個(gè)質(zhì)量標(biāo)準(zhǔn)的病人。

    我們的發(fā)現(xiàn)顯示旅行和靜脈血栓栓塞存在著明顯的聯(lián)系，他們?cè)趫?bào)告中寫道。這篇報(bào)告出版在埃納爾內(nèi)科雜志上。

    他們發(fā)現(xiàn)孕婦和服用避孕藥的婦女及肥胖者尤其危險(xiǎn)。

    這種絕對(duì)的危險(xiǎn)在每4600個(gè)航空旅行者中總會(huì)有一例。他們注釋，一些研究顯示，不存在血凝塊的危險(xiǎn)，而是說他們所采用的研究方法可能會(huì)被質(zhì)疑。

    "這個(gè)報(bào)告的發(fā)現(xiàn)建議：在一般健康的個(gè)體中至少增加三倍的相對(duì)危險(xiǎn)性，不可能產(chǎn)生足夠絕對(duì)的危險(xiǎn)。不能證明采取高危干預(yù)措施是正當(dāng)?shù)模�像在旅行期間口服抗凝藥物。"他們寫道。

    但是確保人們飲用大量的液體飲料，每隔兩小時(shí)站起來活動(dòng)等等是有價(jià)值的，他們說。

    "在2010年，全世界25億旅客將乘飛機(jī)旅行，世界大量人口將處在這個(gè)不可大意的條件的危險(xiǎn)之中。"他們寫道。