| 黄静芬,于洋,田进军,杨震宇,沈逸凡.系统性深静脉血栓预防措施在泌尿外科腹腔镜手术围术期的应用[J].上海护理,2022,22(7): |
| 系统性深静脉血栓预防措施在泌尿外科腹腔镜手术围术期的应用 |
| Systemic Prophylaxis for Deep Vein Thrombosis in Perioperative Period of Urologic Laparoscopic Surgery |
| DOI： |
| 中文关键词: 深静脉血栓，系统性血栓预防措施，泌尿外科腹腔镜手术 |
| 英文关键词:systemic prophylaxis, deep vein thrombosis, urologic laparoscopic surgery |
| 基金项目: |
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| 中文摘要: |
| 摘要
目的：评估泌尿外科腹腔镜手术深静脉血栓栓塞(VTE)事件的发生率，以及评估采用系统性血栓预防措施有效性。
方法：回顾性分析2018年11月至2021年5月在上海市浦东新区人民医院泌尿外科接受泌尿系统腹腔镜手术的224例患者电子数据库。对照组为2018年11月-2019年12月的患者，接受了常规护理；观察组为2020年1月-2021年5月入院的患者，接受系统性血栓预防措施。通过采集患者的基础信息与相关医疗情况分析评价静脉血栓栓塞的发生率，以及评估采用系统性预防性措施的有效性。
结果：在本项研究中观察组患者与对照组患者的基线水平相近。统计发现，与对照组比较，观察组术后3天的D二聚体更低（P＜0.05），两组术后发生静脉血栓率无明显差异（P=0.351），观察组术后住院时间更短，但没有统计学差异（P=0.138），观察组住院满意程度更高（P＜0.05）。
结论：在本项研究中，系统性的血栓预防措施被广泛应用在观察组患者身上，并得到了积极的成效。我们认为进一步的前瞻性随机试验是进一步研究的关键，通过更加精确的变量控制，选择更加有利于血栓控制的临床预防方案。 |
| 英文摘要: |
| Abstract
Background To investigate the incidence of deep vein thrombosis after urologic laparoscopic surgery and to evaluate the effectiveness of systemic prophylaxis.
Patients and Methods 224 Patients who underwent laparoscopic urologic surgery in the Department of Urology, Shanghai Pudong New Area People's Hospital between November 2018 and May 2021 were retrospectively analyzed to evaluate the etiology of developed venous thrombosis and pulmonary embolism within 90 days after surgery. Patients in the control group received routine care from November 2018 to December 2019 and the observation group consisted of patients admitted to the hospital between January 2020 and May 2021 who received systemic thrombosis prophylaxis. By collecting the basic patient information and analyzing the related medical conditions, the incidence of venous thromboembolism and the effectiveness of the systemic preventive measures were evaluated.
Results In this study, the baseline levels were similar between the observation and the control group. Statistics showed that compared with the control group, the D-dimer of the observation group was lower after operation (P < 0.05), and the postoperative venous thrombosis rate of the two groups had no significant difference (P=0.351). The postoperative hospitalization time of the observation group was shorter, but there was no significant difference (P=0.138), and the hospitalization satisfaction of the observation group was higher (P < 0.05).
Conclusion In this study, systemic thrombo-prophylaxis has been widely applied to the observation group patients undergoing urologic laparoscopic surgery. We believe that further prospective randomized trials are the key for further research to select more suitable clinical prophylaxis. |
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