Abstract：Objective To explore the value of continuous use of Aspirin during perioperative period of gynecological single hole laparoscopy.Methods A total of 100 patients with benign gynecological diseases who underwent single hole laparoscopic surgery in Jingdezhen Second People′s Hospital from July 2019 to July 2021 were selected and divided into group A and group B according to random number table method,with 50 cases in each group.Group A continued to take Aspirin,oral from the morning,100 mg/time,once a day.Group B stopped Aspirin at 5-7 days before operation,resumed Aspirin at 3 days after operation,took it orally in the morning,100 mg/time,once a day.All patients were followed up to 30 days after operation.The perioperative coagulation function,operation condition and the incidence of adverse cardiovascular events in the two groups were compared and analyzed.Results There was no significant difference in the levels of platelet count (PLT),prothrombin time (PT),thrombin time (TT),plasma fibrinogen (FIB),coagulation reaction time (R) and blood coagulation time (K) in the two groups between the first day before operation and the first day after operation (P＞0.05).There was no significant difference in the operation time,intraoperative bleeding and 24 h hemoglobin reduction between the two groups (P＞0.05).After 30 days of follow-up,the incidence of cardiovascular adverse events in group A was lower than that in group B,the difference was statistically significant (P＜0.05).Conclusion The continuous use of Aspirin during the perioperative period of gynecological single hole laparoscopic surgery can effectively reduce the incidence of adverse cardiovascular events,and will not increase the risk of intraoperative bleeding,so as to better ensure the safety of patients.
徐宝琳；彭兰兰；王晓晖. 妇科单孔腹腔镜围手术期持续服用阿司匹林的价值[J]. 中国当代医药, 2022, 29(14): 107-109-114.
XU Baolin；PENG Lanlan；WANG Xiaohui. Value of continuous use of Aspirin during perioperative period of gynecological single hole laparoscopic surgery. 中国当代医药, 2022, 29(14): 107-109-114.
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