静脉血栓塞栓症 化学预防 在接受肩部关节镜检查的患者中
Jacob S Budin1, Tolulope Ramos2, Kalli Segel1
1Tulane University School of Medicine, New Orleans, Louisiana.
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|March 11, 2024
概括
肩膀关节镜检查后的静脉血栓塞栓症 (VTE) 是不常见的,但令人担忧. 目前的预防措施没有显著的益处,强调需要新的基于证据的指南.
科学领域:
- 整形外科手术 整形外科手术
- 血管医学 血管医学
- 患者安全 患者安全
背景情况:
- 静脉血栓塞栓症 (VTE) 是肩膀关节镜检查后的一种罕见但严重的并发症,发生在0.01%-0.38%的病例中.
- 尽管发病率很低,但肩膀关节镜手术的大量使用意味着大量患者受到影响.
- 现有的预防策略未能在降低VTE风险方面显示出明显的益处.
研究的目的:
- 评估肩膀关节透视中血栓预防的当前情况.
- 确定现有指导方针的局限性,以及需要改进患者特定方法的需求.
- 强调在制定基于证据的指导方针方面需要进一步研究.
主要方法:
- 在肩膀关节镜检查后对VTE预防现有文献的综述.
- 对研究阿司匹林和低分子量肝素的疗效的分析.
- 评估当前的临床指导方针和共识声明.
主要成果:
- 研究表明,阿司匹林或低分子量肝素没有显著降低静脉瘤风险.
- 目前在肩膀关节镜术中进行血栓预防的指导方针缺乏最终的共识.
- 显而易见的是,在血栓预防中需要对患者进行特定考虑.
结论:
- 对于肩部关节镜术的最佳血栓预防策略缺乏共识.
- 目前的药理干预措施在预防这种患者群体的VTE方面具有有限的有效性.
- 进一步的研究是必不可少的,以建立基于证据的指导方针VTE预防后肩膀透镜.
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