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加拿大白内障与屈光手术协会成员在白内障手术中围手术期使用华法林和阿司匹林的情况:调查

Perioperative use of warfarin and aspirin in cataract surgery by Canadian Society of Cataract and Refractive Surgery members: survey.

作者信息

Ong-Tone Lindsay, Paluck Elan C, Hart-Mitchell Regan D

机构信息

University of Saskatchewan, Canada.

出版信息

J Cataract Refract Surg. 2005 May;31(5):991-6. doi: 10.1016/j.jcrs.2004.09.058.

DOI:10.1016/j.jcrs.2004.09.058
PMID:15975467
Abstract

PURPOSE

To survey the members of the Canadian Society of Cataract and Refractive Surgery (CSCRS) and identify their practices regarding the perioperative use of warfarin and acetylsalicylic acid (aspirin) in cataract surgery.

SETTING

Private practice, Regina, Saskatchewan, Canada.

METHODS

Members of the CSCRS were faxed a questionnaire that examined their perioperative management of patients being treated with warfarin and aspirin.

RESULTS

Of the 110 eligible participants, 82 returned a completed questionnaire, representing a response rate of 74.5%. Warfarin or aspirin was routinely stopped prior to cataract surgery by 25.6% of the respondents. The majority of surgeons who discontinued these medications reported doing so 3 to 7 days prior to surgery and resumed their use 1 to 2 days postoperatively. Topical anesthesia and clear corneal incisions were preferred by the higher volume surgeons. These surgeons were also less likely to discontinue either warfarin or aspirin preoperatively.

CONCLUSIONS

The majority of the Canadian Society of Cataract and Refractive Surgery members do not stop either warfarin or aspirin for cataract surgery during the perioperative period.

摘要

目的

对加拿大白内障与屈光手术协会(CSCRS)的成员进行调查,确定他们在白内障手术中围手术期使用华法林和乙酰水杨酸(阿司匹林)的做法。

地点

加拿大萨斯喀彻温省里贾纳的私人诊所。

方法

向CSCRS成员传真一份问卷,调查他们对华法林和阿司匹林治疗患者的围手术期管理情况。

结果

在110名符合条件的参与者中,82人返回了完整的问卷,回复率为74.5%。25.6%的受访者在白内障手术前常规停用华法林或阿司匹林。大多数停用这些药物的外科医生报告称在手术前3至7天停药,并在术后1至2天恢复使用。手术量较大的外科医生更喜欢表面麻醉和透明角膜切口。这些外科医生术前停用华法林或阿司匹林的可能性也较小。

结论

大多数加拿大白内障与屈光手术协会成员在围手术期白内障手术期间不停用华法林或阿司匹林。

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