对妇科手术后的患者而言，联合使用渐进式弹力袜和间歇性气压疗法比单独使用渐进式弹力袜更能预防深静脉血栓形成：一项荟萃分析。

IF 2.6 4区医学 Q2 HEMATOLOGY

Thrombosis Journal Pub Date : 2024-07-12 DOI:10.1186/s12959-024-00636-1

Limei Lu, Ya Shen, Yuping Pan

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引用次数: 0

摘要

背景：深静脉血栓（DVT）是妇科手术患者的常见病。我们旨在研究妇科手术后单独使用渐进式压力袜（GCS）或结合间歇性气动压力（GCS + IPC）对深静脉血栓形成的预防效果：2022年11月，在7个数据库中检索了有关妇科手术后使用GCS和GCS+IPC预防深静脉血栓的研究。根据特定的纳入和排除标准进行文献筛选和数据提取后，比较了 GCS 和 GCS + IPC 的预防效果，包括深静脉血栓风险和抗凝功能。最后，进行了敏感性分析和 Egger 检验，以评估荟萃分析的稳定性：本荟萃分析纳入了六篇中等质量的文献。结果显示，与单独使用 GCS 相比，GCS + IPC 可显著降低深静脉血栓风险（P = 0.0002）和 D-二聚体水平（P = 0.0005）。敏感性分析和 Egger 检验表明，本研究的综合结果稳定可靠：结论：与单独使用 GCS 相比，GCS + IPS 对妇科手术后患者深静脉血栓的预防效果更高。

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Combination of graduated compression stockings and intermittent pneumatic compression is better in preventing deep venous thrombosis than graduated compression stockings alone for patients following gynecological surgery: a meta-analysis.

Background: Deep vein thrombosis (DVT) is common in patients undergoing gynecological surgery. We aimed to investigate the preventive efficacy in DVT of graduated compression stockings (GCS) alone and in combination with intermittent pneumatic compression (GCS + IPC) after gynecological surgery.

Methods: In November 2022, studies on the use of GCS and GCS + IPC for the prevention of DVT after gynecological surgery were searched in seven databases. After literature screening and data extraction based on specific inclusion and exclusion criteria, preventive efficacies, including the risk of DVT and anticoagulation function, of GCS and GCS + IPC were compared. Finally, sensitivity analysis and Egger's test were performed to evaluate the stability of the meta-analysis.

Results: Six publications with moderate quality were included in this meta-analysis. The results showed that GCS + IPC significantly reduced DVT risk (P = 0.0002) and D-dimer levels (P = 0.0005) compared with GCS alone. Sensitivity analysis and Egger's test showed that the combined results of this study were stable and reliable.

Conclusions: Compared with GCS alone, GCS + IPS showed a higher preventive efficacy against DVT in patients following gynecological surgery.

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来源期刊

Thrombosis Journal Medicine-Hematology

CiteScore

3.80

自引率

3.20%

发文量

审稿时长

16 weeks

期刊介绍： Thrombosis Journal is an open-access journal that publishes original articles on aspects of clinical and basic research, new methodology, case reports and reviews in the areas of thrombosis. Topics of particular interest include the diagnosis of arterial and venous thrombosis, new antithrombotic treatments, new developments in the understanding, diagnosis and treatments of atherosclerotic vessel disease, relations between haemostasis and vascular disease, hypertension, diabetes, immunology and obesity.