由于压缩综合征导致的上肢深静脉血栓形成后患者报告的结果:一项跨国纵向回顾性研究
Maya Abrishami Kashani1, Domenico Baccellieri2, Mert Dumantepe3
1Department of Angiology, University Hospital Zurich, Zurich, Switzerland.
Research and practice in thrombosis and haemostasis
|February 18, 2026
概括
急性上肢深静脉血栓塞 (UEDVT) 可以导致持久的功能问题和心理社会影响. 患者报告的结果强调了标准指标无法捕捉到的重大负担,强调了综合护理的必要性.
科学领域:
- 血管医学 血管医学
- 患者报告的结果
- 上肢健康 上肢健康
背景情况:
- 有限的数据存在于功能性结局和患者报告的经验,急性上肢深静脉血栓塞 (UEDVT) 具体是由压缩综合征引起的.
- 了解这些结果对于全面的患者护理和管理策略至关重要.
研究的目的:
- 为了调查患者报告的功能障碍,生活质量和因压缩综合征而经历UEDVT的个体的治疗满意度.
- 在UEDVT之后识别持续的症状和未满足的患者需求.
主要方法:
- 一项回顾性多中心队列研究,涉及4个国家的5个中心82名患者.
- 患者完成了标准化调查,评估上肢功能 (QuickDASH评分),生活质量 (VAS) 和其他结果.
- 随访发生在平均16个月后,分析了持续的症状和治疗满意度.
主要成果:
- 很大一部分患者 (63%) 在随访时报告了持续的症状,如胀和重度.
- 中位数QuickDASH得分表明轻度整体残疾,但症状持续是残留功能障碍的主要预测因素.
- 患者的优先事项集中在维持手臂功能和预防复发的UEDVT.
结论:
- 由压缩综合征引起的急性UEDVT可能导致持久的功能和心理社会挑战.
- 患者报告的结果为患者体验提供了关键的见解,补充了传统的临床评估.
- 将患者报告的结果纳入常规护理和临床试验,对于UEDVT管理的整体方法至关重要.
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