对接受选择性脊柱手术的患者管理疾病修饰性抗风药 (DMARDs):试点调查
James C Mamaril-Davis1, Pedro Aguilar-Salinas2, Salvador Fabián Gutiérrez Aguirre3
1College of Medicine, The University of Arizona College of Medicine - Tucson, Tucson, Arizona, USA.
Spine surgery and related research
|February 12, 2024
概括
脊柱外科医生通常在选择性脊柱手术前后暂停疾病修饰性抗风湿药物 (DMARDs). 这种做法旨在平衡手术风险和自身免疫性疾病管理,趋势是并发症不会增加.
科学领域:
- 类风湿病学 类风湿病学
- 整形外科手术 整形外科手术
- 神经外科 神经外科
背景情况:
- 诸如类风湿性关节炎之类的自身免疫性疾病往往需要手术干预.
- 患有自身免疫性疾病的患者经常使用疾病修饰性抗风湿药物 (DMARDs).
- 在外科手术期间对DMARD进行管理对于预防疾病爆发和手术并发症至关重要.
研究的目的:
- 调查当前的北美和南美手术实践,以对DMARDs进行术后管理.
- 了解脊柱外科医生如何在接受选择性脊柱手术的患者中处理DMARDs.
主要方法:
- 一个试点调查分发给脊椎外科医生.
- 该调查侧重于脊柱手术前,期间和之后的DMARD管理.
主要成果:
- 47名脊椎外科医生做出了反应,主要是来自北美的神经外科医生.
- 大多数外科医生都咨询了风湿病学家,并且在外科手术期间拒绝使用DMARD.
- 一个趋势表明,当DMARDs被扣留时,术后并发症的风险没有增加.
结论:
- 在接受调查的脊椎外科医生之间存在共识,在选择性脊椎手术之前和之后拒绝使用DMARD.
- 这种做法反映了在进行手术的自身免疫患者管理中的风险效益分析.
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