对激进囊切除术后血栓预防的阿皮克萨班与埃诺沙巴林的比较分析 一个单中心,观察性,前后研究
Cory S Macklin1, Gabrielle Reznik1, Martin E Gleave1
1Department of Urologic Sciences, University of British Columbia, Vancouver, BC, Canada.
概括
艾皮克萨班是一种安全有效的替代品,用于预防急性囊切除术后静脉血栓栓塞. 这项研究发现,这两种抗凝血剂之间的VTE发病率或并发症没有显著差异.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 心脏病学 心脏病学
- 在瘤学瘤学.
背景情况:
- 激进囊切除术 (RC) 是膀癌的标准.
- 静脉血栓栓塞 (VTE) 是一个常见的术后风险.
- 推进行扩展性血栓预防,以预防静脉瘤.
研究的目的:
- 评估阿皮克萨班与埃诺沙巴林在RC后的延长VTE预防方面.
- 为了比较这些抗凝剂的安全性和有效性.
主要方法:
- 观察性,前后研究 (2021年10月 - 2024年8月).
- 包括接受28天出院后血栓预防治疗 (埃诺沙或阿皮克萨班) 的患者.
- 主要结局:手术后30天的VTE;次要:90天的VTE,急诊室访问,再入院,出血,死亡率.
主要成果:
- 102名患者接受了埃诺沙巴林,83人接受了阿皮克萨班.
- 30天VTE发生率没有显著差异 (0%阿皮克萨班与2%埃诺沙巴林,p=0.5).
- 90天VTE,存活率,急诊室访问,再入院和出血并发症的类似率.
结论:
- 阿皮克萨班是一种安全有效的替代品,可用于RC后延长VTE预防.
- 支持在这些患者中使用直接作用的口服抗凝剂进行术后静脉突发动脉瘤预防.
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