接受白内障手术的抗凝患者的围手术期管理：皇家眼科医师学院成员当前实践的全国性审计
Perioperative management of anticoagulated patients having cataract surgery: National audit of current practice of members of the Royal College of Ophthalmologists.
作者信息
Batra Ruchika, Maino Anna, Ch'ng Sun W, Marsh Ian B
机构信息
Department of Ophthalmology, University Hospital Aintree, Liverpool, United Kingdom.
出版信息
J Cataract Refract Surg. 2009 Oct;35(10):1815-20. doi: 10.1016/j.jcrs.2009.05.042.
An 11-item questionnaire was mailed to 891 consultant members of the Royal College of Ophthalmologists (RCOphth) to audit compliance with RCOphth guidelines for perioperative management of anticoagulated patients having cataract surgery. Four hundred ninety-nine questionnaires were analyzed. The results showed that 29.5% of respondents adhered to all aspects of RCOphth guidelines; that is, they checked the international normalized ratio (INR) preoperatively, continued warfarin, operated within the desired therapeutic INR range for the condition that warfarin was being used to treat (as set by the treating physician), and considered sub-Tenon or topical anesthesia in anticoagulated patients.
一份包含11个项目的调查问卷被邮寄给了891名皇家眼科医学院（RCOphth）的顾问成员，以审核他们对RCOphth关于接受白内障手术的抗凝患者围手术期管理指南的遵守情况。对499份调查问卷进行了分析。结果显示，29.5%的受访者遵守了RCOphth指南的所有方面；也就是说，他们在术前检查了国际标准化比值（INR），继续使用华法林，在使用华法林治疗的疾病所期望的治疗INR范围内进行手术（由主治医生设定），并考虑对接受抗凝治疗的患者采用球后或局部麻醉。
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