在怀孕期间进行VTE风险评估,预防和诊断
Ahmed Lutfi1, Ellen O'Rourke2, Maeve Crowley3
1Cork University Maternity Hospital, Cork, Ireland.
静脉血栓塞栓症 (VTE) 仍然是导致产妇死亡的主要原因. 本次综述强调了有关怀孕中VTE预防和诊断的知识差距和最新数据,强调了需要高质量的研究.
科学领域:
- 产科和妇科 产科和妇科
- 血液学 血液学 血液学
- 公共卫生 公共卫生
背景情况:
- 静脉血栓塞栓症 (VTE) 是全球孕产妇死亡的一个重要原因.
- 怀孕本身增加了VTE风险,并进一步加剧了特定的风险因素.
- 目前的指导方针建议在怀孕期间和产后进行例行静脉瘤风险评估.
研究的目的:
- 审查目前在怀孕期间VTE预防和诊断方面的知识差距.
- 总结最近关于VTE和怀孕期间肺栓塞 (PE) 的高质量数据.
- 突出正在进行的研究,并倡导优先考虑该领域的临床研究.
主要方法:
- 对怀孕中VTE的现有文献进行系统审查.
- 分析最近发表的高质量研究和PE的诊断策略.
- 确定和描述正在进行的随机试验和潜在的临床管理研究.
主要成果:
- 除了预防复发之外,关于最佳VTE预防策略的数据存在重大差距.
- 最近的研究改善了对孕期PE诊断方法的理解.
- 在孕妇人群中进行高质量的临床研究是可行的和必不可少的.
结论:
- 迫切需要高质量的研究,以告知怀孕期间的VTE预防和诊断.
- 优先考虑国际合作努力和资金对于推动这一领域的发展至关重要.
- 将研究结果转化为临床指导方针和政策将改善全球的孕产妇健康结果.
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