静脉血栓塞栓症在有心脏风险因素的整形外科患者中预防的遵守
Usama Asif1, Usman Ghani1, Sheikh Muhammad Rehman Zia2
1Internal Medicine, Aziz Bhatti Shaheed Teaching Hospital, Gujrat, PAK.
坚持静脉血栓塞栓症 (VTE) 预防是预防深静脉血栓症 (DVT) 和肺栓塞 (PE) 的关键. 在选择性手术中,更高的遵守率与VTE发病率的降低相关.
科学领域:
- 医学研究 医学研究
- 临床结果 临床结果
- 公共卫生 公共卫生
背景情况:
- 静脉血栓塞栓症 (VTE),包括深静脉血栓症 (DVT) 和肺栓塞 (PE),对健康构成重大风险,包括死亡率.
- 有效管理VTE依赖于适当的预防措施,特别是在手术患者.
研究的目的:
- 评估患者遵守VTE预防措施的程度.
- 确定影响遵守VTE预防方案的因素.
- 评估合规对VTE事件发生率的影响.
主要方法:
- 从2023年10月到2024年10月,在拉合尔的沙玛拉医院进行了前性研究.
- 数据收集包括患者人口统计,临床因素,手术细节以及VTE预防遵守 (药物和机械).
- 在手术后的30天内,对静脉瘤发病率和出血并发症进行了监测;数据使用IBM SPSS统计数据进行了分析.
主要成果:
- 这项研究包括90名患者 (平均年龄为58.9±8.4岁,54%为男性). 静脉瘤发病率为6.7% (静脉瘤4.4%,静脉瘤2.2%).
- 选择性手术患者 (84%) 与紧急手术患者 (63%) 相比,选择性手术患者的整体VTE预防遵守率更高.
- 在8.9%的患者中发生出血并发症 (小6.7%,大2.2%).
结论:
- 遵守VTE预防对于减轻心脏风险因素的骨科患者的血栓栓塞事件至关重要.
- 遵守预防措施,特别是在选择性手术中,显著影响VTE事件率.
- 进一步的研究可能会探索在紧急外科设置中改善合规性的策略.
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