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本文引用的文献

1
Lack of evidence for increased risk of postoperative bleeding after cutaneous surgery in the head and neck in patients taking aspirin.没有证据表明服用阿司匹林的患者在头颈部进行皮肤手术后出血风险会增加。
Br J Oral Maxillofac Surg. 2014 Jul;52(6):527-9. doi: 10.1016/j.bjoms.2014.02.020. Epub 2014 Apr 2.
2
Should more patients continue aspirin therapy perioperatively?: clinical impact of aspirin withdrawal syndrome.更多患者应继续围手术期阿司匹林治疗吗?:阿司匹林停药综合征的临床影响。
Ann Surg. 2012 May;255(5):811-9. doi: 10.1097/SLA.0b013e318250504e.
3
Prospective evaluation of dermatologic surgery complications including patients on multiple antiplatelet and anticoagulant medications.前瞻性评估皮肤科手术并发症,包括正在服用多种抗血小板和抗凝药物的患者。
J Am Acad Dermatol. 2011 Sep;65(3):576-583. doi: 10.1016/j.jaad.2011.02.012. Epub 2011 Jul 22.
4
Bleeding complications in skin cancer surgery are associated with warfarin but not aspirin therapy.皮肤癌手术中的出血并发症与华法林有关,而与阿司匹林治疗无关。
Br J Surg. 2007 Nov;94(11):1356-60. doi: 10.1002/bjs.5864.
5
Surgical resection of cutaneous head and neck lesions: does aspirin use increase hemorrhagic risk?头颈部皮肤病变的手术切除:服用阿司匹林会增加出血风险吗?
Arch Otolaryngol Head Neck Surg. 2006 Nov;132(11):1237-41. doi: 10.1001/archotol.132.11.1237.
6
Low-dose aspirin for secondary cardiovascular prevention - cardiovascular risks after its perioperative withdrawal versus bleeding risks with its continuation - review and meta-analysis.低剂量阿司匹林用于心血管疾病二级预防——围手术期停用后的心血管风险与继续使用时的出血风险——综述与荟萃分析
J Intern Med. 2005 May;257(5):399-414. doi: 10.1111/j.1365-2796.2005.01477.x.
7
Controversies in perioperative management of blood thinners in dermatologic surgery: continue or discontinue?皮肤科手术中血液稀释剂围手术期管理的争议:继续还是停用?
Dermatol Surg. 2004 Aug;30(8):1091-4; discussion 1094. doi: 10.1111/j.1524-4725.2004.30333.x.
8
Serious adverse vascular events associated with perioperative interruption of antiplatelet and anticoagulant therapy.与围手术期抗血小板和抗凝治疗中断相关的严重不良血管事件。
Dermatol Surg. 2002 Nov;28(11):992-8; discussion 998. doi: 10.1046/j.1524-4725.2002.02085.x.

阿司匹林对接受手术的皮肤癌患者出血量的影响:一项随机对照试验。

Aspirin use and bleeding volume in skin cancer patients undergoing surgery: a randomized controlled trial.

作者信息

Engheta Arman, Hadadi Abianeh Shahryar, Atri Ali, Sanatkarfar Mehdi

机构信息

Department of Plastic Surgery, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Department of Plastic Surgery, Razi Hospital, Tehran University of Medical Sciences, Vahdat Eslami st, Tehran, Iran.

出版信息

Daru. 2016 Jul 28;24(1):20. doi: 10.1186/s40199-016-0159-4.

DOI:10.1186/s40199-016-0159-4
PMID:27465859
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4964271/
Abstract

UNLABELLED

ᅟ: We investigated the occurrence of bleeding complications in patients who underwent skin tumor surgery and compared it between Aspirin users and a placebo control group. In this double blind randomized controlled trial, 32 patients who continued taking aspirin (intervention group) and 38 patients who stopped taking Aspirin (placebo group) before surgery were compared in terms of intraoprative and postoperative bleeding problems, hematoma and local signs of coagulopathy. There was no statistically significant difference in intraoprative bleeding between the study groups (P = 0.107). We concluded that continuation of Aspirin therapy had no significant effect on bleeding complications in patients who underwent skin tumor surgery.

TRIAL REGISTRATION

IRCT201602049768N5 Flow chart of the study process and its final finding.

摘要

未标注

我们调查了接受皮肤肿瘤手术患者出血并发症的发生率,并在阿司匹林使用者和安慰剂对照组之间进行了比较。在这项双盲随机对照试验中,比较了32名术前继续服用阿司匹林的患者(干预组)和38名术前停用阿司匹林的患者(安慰剂组)在术中及术后的出血问题、血肿和凝血障碍的局部体征。研究组之间术中出血无统计学显著差异(P = 0.107)。我们得出结论,继续使用阿司匹林治疗对接受皮肤肿瘤手术患者的出血并发症无显著影响。

试验注册

IRCT201602049768N5 研究过程及其最终结果的流程图。