系统评价梯度压力弹力袜在低危手术患者中预防静脉血栓栓塞症的获益。
Systematic review on the benefit of graduated compression stockings in the prevention of venous thromboembolism in low-risk surgical patients.
机构信息
Academic Section of Vascular Surgery, Department of Surgery and Cancer, Imperial College London, London, UK.
Imperial Vascular Unit, Imperial College Healthcare NHS Trust, London, UK.
出版信息
Phlebology. 2021 Apr;36(3):184-193. doi: 10.1177/0268355520958590. Epub 2020 Oct 4.
OBJECTIVES
The aim of this systematic review is to assess the performance of graduated compression stockings (GCS) in comparison to no venous thromboembolism (VTE) prophylaxis in the prevention of hospital-acquired thrombosis in low-risk surgical patients undergoing short-stay procedures.
METHODS
Aligning with PRISMA guidelines, online databases MEDLINE and EMBASE, Cochrane Library® and trial registries were searched. Eligible articles reported the VTE rate in low-risk surgical patients either receiving GCS or no VTE prophylaxis.
RESULTS
Narrative synthesis was performed on a single eligible article. The included study arm consisted of participants undergoing knee arthroscopy with the use of GCS alone reporting a total of 29 VTE events (4.4%), 16 of which were asymptomatic DVTs (2.4%).
CONCLUSION
There is a complete lack of evidence to support the use of GCS in the prevention of HAT for low-risk surgical patients. An adequately powered trial is required to provide level-IA evidence to support this practice.
目的
本系统评价旨在评估梯度压力弹力袜（GCS）在预防短期住院低危手术患者医院获得性血栓（HAT）方面与不进行静脉血栓栓塞症（VTE）预防相比的效果。
方法
根据 PRISMA 指南，检索在线数据库 MEDLINE 和 EMBASE、Cochrane 图书馆®和试验注册处。符合条件的文章报告了低危手术患者接受 GCS 或不进行 VTE 预防的情况下的 VTE 发生率。
结果
对一篇符合条件的文章进行了叙述性综合分析。纳入的研究组包括接受膝关节镜手术的患者，仅使用 GCS，共报告了 29 例 VTE 事件（4.4%），其中 16 例为无症状 DVT（2.4%）。
结论
目前尚无证据支持在预防低危手术患者的 HAT 中使用 GCS。需要进行一项充分有力的试验，提供 I 级证据来支持这种做法。
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