肩关节镜围手术期不停用阿司匹林对手术难度及术后临床疗效的影响  

Effect of non-stop aspirin in the perioperative period of shoulder arthroscopy on the difficulty of surgery and clinical efficacy after surgery

作　　者：隋佳星 于浩淼[1] 李智尧 马立峰[1] 郭艾[1] SUI Jia-xing;YU Hao-miao;LI Zhi-rao(Department of Orthopedics,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China;Department of Orthopedics,Yanqing Hospital,Third Hospital,Peking University,Beijing 102100,China)

机构地区：[1]首都医科大学附属北京友谊医院骨科,北京100050 [2]北京大学第三医院延庆医院骨科,北京102100

出　　处：《临床和实验医学杂志》2024年第3期301-305,共5页Journal of Clinical and Experimental Medicine

摘　　要：目的 探讨肩关节镜手术围手术期不停用阿司匹林对手术过程中操作难度和术后临床疗效的影响。方法 回顾性选取2019年8月至2022年8月在首都医科大学附属北京友谊医院骨科接受肩关节镜手术的177例患者作为研究对象。根据是否停用阿司匹林分为观察组(n=37)和对照组(n=140)。观察组患者围手术期不停用阿司匹林,对照组的患者既往不服用阿司匹林。比较两组患者的手术时间、麻醉时间、失血量、术前及术后6个月的Constant评分,视觉模拟评分法(VAS)评分、心脑血管并发症、非心脑血管并发症。结果 两组患者均顺利完成手术并获得6个月的随访资料。两组患者的手术时间、麻醉时间、失血量、术前及术后6个月Constant评分、VAS评分比较,差异均无统计学意义(P>0.05)。观察组患者术后6个月内未出现心脑血管并发症,对照组发生1例急性脑梗死。观察组患者术后出现2例肩关节僵硬,未出现伤口感染;对照组出现13例肩关节僵硬,1例伤口感染。两组并发症发生率比较,差异无统计学意义(P>0.05)。结论 肩关节镜围手术期若不停用阿司匹林,不会增加手术时间、麻醉时间、失血量和并发症发生率,不增加手术难度和影响术后恢复效果。Objective To study the effect of non-stop aspirin in the perioperative period of shoulder arthroscopy on the difficulty of surgery during the procedure and postoperative joint pain and function.Methods A total of 177 patients who underwent shoulder arthroscopic surgery at the Department of Orthopedics,Beijing Friendship Hospital,Capital Medical University from August 2019 to August 2022 were retrospectively selected as the study subjects.And they were divide into observation group(n=37) and control group(n=140) based on whether aspirin has been discontinued or not.The observation group did not stop taking aspirin during the perioperative period,the control group did not take aspirin in the past.The operation time,anaesthesia time,blood loss,Constant score before and 6 months after surgery,visual analogue score(VAS),cardiovascular and cerebrovascular complications,non-cardiovascular and cerebrovascular complications in the two groups of patients were compared.Results Successful completion of surgery and 6-month follow-up data were obtained in two groups.There were no statistically significant differences on operation time,anaesthesia time,blood loss,preoperative and 6-month postoperative Constant scores and VAS scores between the two groups(P>0.05).No cardiovascular and cerebrovascular complications occurred in the patients of the observation group in the 6 months after surgery,and one case of acute cerebral infarction occurred in the control group.There were 2 cases of shoulder joint stiffness and no wound infection in the patients of the observation group after surgery,and 13 cases of shoulder joint stiffness and 1 case of wound infection in the control group.There was no statistically significant difference in the incidence of complications between the two groups(P>0.05).Conclusion Non-stop aspirin use during the perioperative period of shoulder arthroscopy does not increase operative time,anaesthesia time,blood loss or complication rate,does not increase the difficulty of the operation and does not affect the

关 键 词：肩关节镜手术 肩袖撕裂 冻结肩 阿司匹林 失血 手术 

分 类 号：R687.4[医药卫生—骨科学]