短期的床上休息不是在内镜头骨底部手术后静脉血栓栓塞的危险因素
Eric H Abello1, Joel S Feier1, Arash Abiri1
1Department of Otolaryngology - Head and Neck Surgery, University of California Irvine Medical Center, Orange, California, USA.
World neurosurgery
|October 10, 2024
概括
在骨底部病理的内镜内视疗法 (EEA) 手术后短期的床上休息不会增加静脉血栓栓塞 (VTE) 的风险. 这项研究发现,在术后患者的床上休息时间和静脉瘤发育之间没有显著的联系.
科学领域:
- 神经外科 神经外科
- 血管外科 血管外科
- 关键护理医学 关键护理医学
背景情况:
- 静脉血栓塞栓症 (VTE) 是术后患者患病的重要原因.
- 目前的指导方针缺乏在进行骨底部手术的内镜内腔治疗 (EEA) 患者中进行静脉瘤风险分层的具体分层.
- 术后护理通常要求不活动,以防止内压力转移,这可能会影响骨底部的重建.
研究的目的:
- 为了确定手术后的卧床休息是否会增加经过EEA的患者患血栓栓塞并发症的风险.
- 在这个患者群体中识别VTE的潜在风险因素.
主要方法:
- 对221名患者进行脑脊髓液泄漏的头骨底部重建,进行内射EEA的患者的回顾性图表审查.
- 分析包括患者人口统计学,手术方法的程度,手术内泄漏率,床上休息时间,腰部排水和VTE预防.
- 进行了单变量和多变量回归分析,以确定VTE的预测因素.
主要成果:
- 深静脉血栓症 (DVT) 的发生率为3.6%.
- 诸如年龄,性别,BMI,延长接近,脑脊液泄漏率,床上休息时间和腰部排水等因素并不是VTE的显著预测因素.
- 多变量分析没有确定短期的床上休息是术后风险因素.
结论:
- 经过EEA进行头骨底部病理的短期术后卧床休息与VTE的风险增加无关.
- 这些发现表明,目前的VTE预防策略对于接受EEA的患者来说可能是足够的,不管处方的床上休息时间是多少.
关键词:
在床上休息.大脑脊髓液泄漏 脑脊髓液泄漏深静脉血栓形成的原因是深静脉血栓.这里是Endonasal.内镜方法的方法.固定化 固定化 固定化下垂体 - - 下垂体肺栓塞 肺栓塞 是一种肺栓塞.跨形形状的形体静脉血栓塞栓症是一种静脉血栓塞栓症.更多相关视频
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