脊柱外科手术后静脉血栓栓塞的研究进展
Journal: Basic Medical Theory Research DOI: 10.12238/bmtr.v7i1.11839
Abstract
为研究脊柱外科手术后静脉血栓栓塞(VTE)的预防和管理,本文综述了VTE的流行病学、危险因素及其预防措施。主要分析了特殊疾病(如脊柱骨折、脊髓损伤、脊柱肿瘤)患者的VTE风险,并探讨了不同手术部位、路径对VTE发生率的影响。此外,文章还重点讨论了药物预防、物理预防及综合预防策略的临床应用,结合最新研究成果,提出个体化预防方案的重要性。旨在为临床实践提供指导,降低VTE发生率,改善患者术后恢复。
Keywords
脊柱外科手术；静脉血栓栓塞(VTE)；流行病学
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[3] Shapiro JA, Stillwagon MR, Padovano AG, et al. An evidence-based algorithm for determining venous thrombo‐ embolism prophylaxis after degenerative spinal surgery[J]. Int J Spine Surg,2020,14(4):599-606.
[4] 李亚芹.脊柱外科患者围手术期静脉血栓预防循证护理方案的构建与应用[J].中国科技期刊数据库医药,2023(11):25-29.
[5] Panagopoulos D, Karydakis P, Noutsos G, et al. Venous thromboembolism risk and thromboprophylaxis in pediatric neurosurgery and spinal injury: current trends and literature review[J]. Semin Thromb Hemost,2022,48(3):318-322.
[6] 童亚慧,朱红霞,邹叶芳,等.江苏省骨科护士对静脉血栓栓塞症机械预防的认知及应用情况调查[J].天津护理,2023,31(1):27-31.
[7] Park JH, Lee KE, Yu YM, et al. Incidence and risk factors for venous thromboembolism after spine surgery in korean patients[J].World Neurosurg,2019,128:e289-e307.
[8] Fischer CR, Wang E, Steinmetz L, et al. Prevalence of risk factors for hospital-acquired venous thromboembolism in neurosurgery and orthopedic spine surgery patients[J]. Int J Spine Surg,2020,14(1):79-86.
[9] Kim J, Kim SW, Choi JK, et al. Diagnostic trends of preop -erative venous thromboembolism and its clinical implica-tio ns in patients who underwent surgery for degenerative spinal diseases[J].Spine J,2023,23(12):1838-1847.
[10] 耿贵敏,徐康兰,罗顺梅,等.脊柱外科医院相关性静脉血栓栓塞症形成的相关原因分析[J].沈阳药科大学学报,2021(S02):038.
[11] 杜娇,方秀统,王丹丹.低分子肝素对脊柱外科患者术后住院期间下肢深静脉血栓的预防作用[J].血管与腔内血管外科杂志,2023,9(9):1063-1066.
[12] 高新雪,黄洁,韩莹,等.预防性干预流程联合利伐沙班对脊柱外科术后下肢深静脉血栓的影响[J].血管与腔内血管外科杂志,2023,9(5):561-564.
[13] Shapiro JA, Stillwagon MR, Padovano AG, et al. An evid ence-based algorithm for determining venous thrombo-emboli sm prophylaxis after degenerative spinal surgery[J]. Int J Spine Surg,2020,14(4):599-606.
[14] 杨黔.基于Caprini量表的分级护理干预在脊柱手术后预防下肢深静脉血栓的效果分析[J].健康必读,2022:97-99.
[15] 胡艳,陈赟.基于护士主导的早期康复护理模式预防脊柱外科术后患者深静脉血栓形成的效果研究[J].赣南医科大学学报,2024,44(10):1038-1042.
[16] 钱琛.预见性护理对脊柱外科患者术后发生下肢静脉血栓率及效果分析[J].中文科技期刊数据库(引文版)医药卫生,2022(10):3.
[17] 王丽娜.循证护理构建预防脊柱外科患者围手术期静脉血栓效果分析[J].每周文摘·养老周刊,2024(2):0233-0235.
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