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血栓栓塞预防与剖宫产:普通产科医生的一项调查

Thromboembolism prophylaxis and cesarean section: a survey of general obstetricians.

作者信息

Connolly Thomas

机构信息

Department of Obstetrics and Gynecology, Marshfield Clinic, Wausau, WI 54401, USA.

出版信息

South Med J. 2003 Feb;96(2):146-8. doi: 10.1097/01.SMJ.0000051280.53683.B6.

DOI:10.1097/01.SMJ.0000051280.53683.B6
PMID:12630638
Abstract

BACKGROUND

Venous thromboembolism (VTE) has historically remained a risk factor for obstetric patients, particularly those requiring cesarean section. The objective of this survey was to assess the response of general obstetricians to risk factor considerations for VTE prophylaxis and cesarean section.

METHODS

A survey regarding VTE prophylaxis and cesarean section was sent to 113 obstetricians practicing in suburban Chicago and northern Wisconsin.

RESULTS

There were 51 responses (45%) to the survey. Most respondents do not routinely use VTE prophylaxis for cesarean section in patients who may have one or more risk factors.

CONCLUSION

There appears to be lack of consensus or appreciation for VTE and prophylaxis for cesarean section. Further studies and education are warranted.

摘要

背景

静脉血栓栓塞症(VTE)一直以来都是产科患者的一个风险因素,尤其是那些需要剖宫产的患者。本次调查的目的是评估普通产科医生对VTE预防和剖宫产风险因素考量的反应。

方法

向在芝加哥郊区和威斯康星州北部执业的113名产科医生发送了一份关于VTE预防和剖宫产的调查问卷。

结果

该调查有51份回复(45%)。大多数受访者对于可能有一个或多个风险因素的剖宫产患者,并不常规使用VTE预防措施。

结论

对于VTE和剖宫产预防措施似乎缺乏共识或重视。有必要进行进一步的研究和教育。

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引用本文的文献

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Bemiparin versus enoxaparin as thromboprophylaxis following vaginal and abdominal deliveries: a prospective clinical trial.贝米肝素与依诺肝素用于阴道分娩和剖宫产术后血栓预防的前瞻性临床试验
BMC Pregnancy Childbirth. 2015 Mar 28;15:72. doi: 10.1186/s12884-015-0515-2.
2
Prophylaxis for venous thromboembolic disease in pregnancy and the early postnatal period.孕期及产后早期静脉血栓栓塞性疾病的预防
Cochrane Database Syst Rev. 2010 May 12(5):CD001689. doi: 10.1002/14651858.CD001689.pub2.