在斋月期间长时间禁食时静脉血栓栓塞风险评估:全球斋月无血栓塞项目
Joseph Caprini1, Ayman Fakhry2, Sohiel Nagib3
1Vascular Surgery, Pritzker School of Medicine at the University of Chicago, Chicago, USA.
Cureus
|September 8, 2025
概括
斋月禁食可能会增加静脉血栓塞栓症 (VTE) 的风险,特别是在那些有现有疾病的人中. 使用卡普里尼分数和禁食因子进行风险评估,可以识别需要预防策略以确保安全遵守的个人.
科学领域:
- 内部医学 内部医学
- 公共卫生 公共卫生
- 心脏病学 心脏病学
背景情况:
- 斋月禁食包括在白天的时间里避免食用食物和液体.
- 这种做法可能会增加脱水和静脉血栓塞栓症 (VTE) 的风险,特别是在炎热的气候下.
- 有限的临床证据表明,与长时间禁食相关的VTE的实际发生率和风险是有限的.
研究的目的:
- 评估在斋月期间禁食的个体体中风险的VTE.
- 使用Caprini风险评估模型进行风险分层.
- 为禁食人口量身定制的预防策略提出建议.
主要方法:
- 在斋月期间,在几个国家进行了一项多中心的观察性研究.
- 计算了标准的卡普里尼分数,以及禁食特定的风险因素 (持续时间,温度,活动,水分).
- 评估了静脉,静脉逆流和血栓友爱史;追踪了静脉突发症事件.
主要成果:
- 一部分参与者在禁食期间出现了VTE.
- 患有血栓事件的个体具有更高的卡普里尼得分和更多的促成因素 (静脉,逆流,血栓性).
- 所有VTE事件都发生在禁食期间,与其他疾病无关.
结论:
- 斋月禁食可以揭露或加剧血栓形成的风险,特别是在那些有先前存在的静脉疾病或血栓友爱症的人中.
- 使用卡普里尼分数和禁食特定因素的风险分层有助于识别有风险的个人.
- 有针对性的预防策略 (教育,流体管理,预防) 对于安全的斋戒至关重要.
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