在接受结肠镜检查的患者中,通过多斑管切除术进行周围手术抗凝药管理
Melissa Chan1, Joshua Yoon1, Jennifer J Telford1,2,3
1Department of Medicine, University of British Columbia, Vancouver, Canada.
概括
一个新的护理途径,用于在结肠镜检查期间管理抗凝血治疗,导致出血和凝血并发症的发病率较低. 这种标准化的方法确保了结直肠癌查期间的患者安全.
科学领域:
- 胃肠病学 胃肠病学
- 心脏病学 心脏病学
- 在瘤学瘤学.
背景情况:
- 在结直肠癌查中,结直肠镜与多角切除术至关重要.
- 周围程序性抗凝剂管理缺乏标准化指导方针,造成出血或血栓栓塞的风险.
- 在结肠镜检查期间管理口服抗凝剂的数据有限.
研究的目的:
- 评估在接受结肠镜检查的患者中出血和血栓栓塞并发症的发生率.
- 评估一种新型患者护理途径在标准化周围手术抗凝管理中的有效性.
- 在服用口服抗凝剂的患者中,确定结肠镜检查后的安全结果.
主要方法:
- 对162名接受结肠镜检查的口服抗凝剂患者 (50-74岁) 的回顾性研究.
- 包括标准:异常的便免疫化学测试,转介到不列颠哥伦比亚省的结肠查计划.
- 主要结局:结肠镜检查后14天内发生严重出血和血栓栓塞事件.
主要成果:
- 发生了一次重大出血事件 (0.6%).
- 发生了一次动脉血栓栓塞事件 (0.6%).
- 该研究包括服用维生素K抗体和直接口服抗凝药的患者.
结论:
- 一种新的,标准化的抗凝血管理途径与较低的并发症率有关.
- 多学科团队参与护理途径可以提高患者的安全性.
- 这种方法有效地平衡了在接受结肠镜检查的抗凝血患者的出血和血栓风险.
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