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抗血栓药物的周末镜管理:冷陷多角切除术是答案吗?
Victor Argumánez1, Gema Plumé2, Marco Bustamante-Balén3
1Gastrointestinal Endoscopy Unit, Digestive Diseases Department, Hospital Universitari i Politècnic La Fe, Valencia 46026, Spain.
概括
接受结肠镜检查的抗血栓药物患者可能不需要停止药物治疗. 片的冷切除减少了出血,可能允许继续抗血栓治疗.
科学领域:
- 胃肠病学 胃肠病学
- 心脏病学 心脏病学
- 内镜检查是指内镜检查.
背景情况:
- 在接受结肠镜检查的患者中,抗血栓药物的使用越来越多.
- 在需要抗血栓治疗的老年患者中,结肠的患病率更高.
- 目前的做法包括修改抗血栓治疗以减少多重切除术后出血 (PPB).
研究的目的:
- 审查证据支持改变在周末镜期间对抗血栓性药物管理的指导方针.
- 评估通过冷切除减少PPB是否影响抗血栓药物管理.
- 评估在结肠镜检查期间维持抗血栓治疗的安全性.
主要方法:
- 系统审查关于抗血栓药物管理和结肠镜检查的当前文献.
- 对比多切除技术的研究分析,重点关注多切除术后出血 (PPB).
- 评估与停止服用抗血栓药物相关的血栓事件风险.
主要成果:
- 冷鼻切除表明,对于小于10毫米的息肉而言,多重切除术后出血 (PPB) 的风险降低.
- 这种安全性可能允许某些患者继续接受抗血栓治疗.
- 证据正在出现,挑战抗血栓药物的常规停用.
结论:
- 目前关于结肠镜检查期间抗血栓药物管理的指导方针可能需要修订.
- 冷鼻切除在减少PPB的有效性支持重新考虑停止服用抗血栓药物.
- 需要进一步的研究,以建立安全的周末镜抗血栓管理的最终指南.
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