妇科单孔腹腔镜围手术期持续服用阿司匹林的价值

Abstract
Figure/Table
References (18)
Related Citation (15)

Download: PDF (613 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

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.

Key words： Gynecology Single hole laparoscopic surgery Perioperative period Aspirin Coagulation function

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	XU Baolin
	PENG Lanlan
	WANG Xiaohui

Cite this article:

XU Baolin,PENG Lanlan,WANG Xiaohui. Value of continuous use of Aspirin during perioperative period of gynecological single hole laparoscopic surgery[J]. 中国当代医药, 2022, 29(14): 107-109-114.

URL:

https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2022/V29/I14/107

[1]	黄旭红，陈元平.100 例经脐单孔腹腔镜技术在妇科良性疾病诊治中的应用体会[J].贵州医药，2020，44（6）：923-924.
[2]	陈云燕，董婕.自制入路平台经脐单孔腹腔镜手术在妇科良性疾病的应用[J].江苏医药，2019，45（5）：520-522.
[3]	包贤涛，刘修恒，陈志远，等.长期服用阿司匹林患者经尿道前列腺切除术围术期使用低分子肝素替代治疗对出血的影响[J].广西医学，2018，40（3）：276-278，299.
[4]	宋英杰，全昌银，曹胜华，等.腹腔镜围术期后mFOLFOX6联合阿司匹林治疗进展期胃癌的临床观察[J].中国普外基础与临床杂志，2018，25（2）：166-170.
[5]	刘新民.妇产科手术学[M].3 版.北京：人民卫生出版社，2003：134-199.
[6]	Kerr MM，Graves SE，Duszynski KM，et al.Does a Prescription-based Comorbidity Index Correlate with the American Society of Anesthesiologists Physical Status Score and Mortality After Joint Arthroplasty? A Registry Study[J].Clin Orthop Relat Res，2021，479（10）：2181-2190.
[7]	孙力，张旋，杨萌，等.经脐单孔腹腔镜手术治疗巨大附件良性肿瘤30 例[J].中国微创外科杂志，2019，19（4）：308-310.
[8]	王罕瑾，蒋本贵.经阴道与经脐单孔腹腔镜在子宫肌瘤手术中的应用比较[J].中国内镜杂志，2020，26（12）：60-65.
[9]	阳慧.血栓预防策略对高危因素妇科围术期患者下肢深静脉血栓的预防效果研究[J].陕西医学杂志，2018，47（5）：580-582.
[10]	周蔚，戴晓云，王中海.妇科腹腔镜手术及开腹手术对下肢静脉血栓形成的影响[J].中国妇幼保健，2020，35（6）：1150-1152.
[11]	张杭，张志强，贺强，等.阿司匹林预防全膝关节置换后静脉血栓的有效及安全性[J].中国组织工程研究，2018，22（15）：2321-2326.
[12]	谷小燕，胡芬，胡顺梅.血栓弹力图在阿司匹林预防晚期肺癌患者PICC 相关性静脉血栓疗效监测中的应用[J].中国病案，2019，20（11）：106-109.
[13]	李袁树，张晓冬，郭宗铎，等.应用血栓弹力图指导支架辅助栓塞颅内动脉瘤患者围手术期抗血小板治疗的单中心经验[J].中华神经外科杂志，2021，37（4）：348-353.
[14]	陈伟宏，黄峰平，顾钧，等.腹腔镜胆囊切除术围术期继续口服阿司匹林对患者胆囊功能及血栓栓塞风险的影响[J].中国药师，2018，21（5）：850-853.
[15]	张丞贵，王国栋，孙建民，等.颈椎手术围术期停服阿司匹林对心脑血管事件和下肢静脉栓塞风险及出血的影响[J].中国组织工程研究，2018，22（23）：3703-3709.
[16]	刘海鹰，王建宏，孟令照，等.长期口服阿司匹林甲状腺癌患者围手术期停药时间研究[J].中国耳鼻咽喉头颈外科，2019，26（4）：175-178.
[17]	曾柯，李小滨，邓克非，等.围手术期持续服用阿司匹林对经尿道前列腺等离子剜除术的影响[J].微创泌尿外科杂志，2020，9（2）：135-138.
[18]	王和彪，王金刚.腹腔镜胆囊切除患者围术期持续使用阿司匹林对患者血栓栓塞风险与胆囊功能的影响[J].血栓与止血学，2020，26（3）：455-457.