Conroy F J, Thornton D J A, Mather D P, Srinivasan J, Hart N B
Department of Plastic Surgery, Castle Hill Hospital, Cottingham, Hull HU16 5JQ, UK.
J Plast Reconstr Aesthet Surg. 2006;59(5):510-4. doi: 10.1016/j.bjps.2005.11.005. Epub 2006 Feb 2.
Potentially fatal thromboembolic events prevail post-operatively despite the widespread availability of proven methods of prophylaxis. In 1992 Dujon et al published an article which reviewed thromboembolic prophylaxis methods of Consultant Plastic Surgeons in the UK and Ireland. Our follow up study surveyed all current Consultant B.A.P.S members using a modified postal questionnaire to assess practice nationwide. Our conclusions were drawn from comparisons made between the two populations some twelve years apart. Our results show a dramatic change from the previous findings. Since 1992 86% of respondents have developed a set prophylaxis protocol (compared to 19%). The use of low molecular weight heparin has drastically increased by 24% to 76%, the use of flow-tron boots (or similar) has increased by 22% to 68%, the use of TED stockings has increased by 12% to 83%, the use of multi-modality prophylaxis has increased by 27% to 79% Our results demonstrate a definite shift towards multi-modal thromboembolic prophylaxis, possibly due to increased awareness of available technologies and subsequent reduction in costs.
尽管有成熟的预防方法广泛可用，但术后仍普遍存在潜在致命的血栓栓塞事件。1992年，杜琼等人发表了一篇文章，回顾了英国和爱尔兰整形外科顾问医生的血栓栓塞预防方法。我们的后续研究使用改良的邮寄问卷对所有现任英国整形外科学会会员进行了调查，以评估全国范围内的实践情况。我们的结论是通过对相隔约十二年的两个人群进行比较得出的。我们的结果显示与之前的发现有巨大变化。自1992年以来，86%的受访者制定了固定的预防方案（相比之下，这一比例在1992年为19%）。低分子量肝素的使用大幅增加了24%，达到76%；血流动力学靴（或类似产品）的使用增加了22%，达到68%；TED弹力袜的使用增加了12%，达到83%；多模式预防的使用增加了27%，达到79%。我们的结果表明，预防措施明显转向多模式血栓栓塞预防，这可能是由于对现有技术的认识提高以及成本的后续降低。
