مقایسه بروز علائم بالینی ترومبوز ورید عمقی در بیهوشی عمومی و بیحسی نخاعی بعد از عمل جراحی هیسترکتومی شکمی

نوع مقاله : اصیل پژوهشی

نویسندگان

1 متخصص بیهوشی، دانشکده پزشکی، دانشگاه علوم پزشکی تبریز، تبریز، ایران.

2 دانشجوی کارشناسی هوشبری، دانشکده پیراپزشکی، دانشگاه علوم پزشکی تبریز، تبریز، ایران.

3 استادیار گروه جراحی عمومی و عروق، مرکز تحقیقات تنفس و خواب راحت، دانشگاه علوم پزشکی تبریز، تبریز ایران.

چکیده

مقدمه: با توجه به اینکه روش بیهوشی در بروز علائم بالینی ترومبوز ورید عمقی (DVT) پس از هیسترکتومی شکمی دخیل است و این موضوع می­تواند در ابتلاء به ترمبوز ورید عمقی مؤثر باشد و عدم اطلاع دقیق از بروز و یا عدم بروز آن منجر به شروع درمان می­شود، مطالعه حاضر با هدف مقایسه بروز علائم بالینی DVT در بیهوشی عمومی و بی­حسی نخاعی بعد از عمل جراحی هیسترکتومی شکمی انجام شد.
روش‌کار: این مطالعه توصیفی- تحلیلی طی سال‌های 99-1398 با مشارکت 70 زن بعد از عمل هیسترکتومی شکمی که به یکی از دو روش بیهوشی عمومی و بی‌حسی نخاعی تحت عمل جراحی قرار گرفته بودند، در بیمارستان الزهراء تبریز انجام شد. تشخیص DVT به‌وسیله چک‌لیست علائم بالینی و سونوگرافی داپلر انجام شد. تجزیه و تحلیل داده­ها با استفاده از نرم‌افزار آماری SPSS (نسخه 22) و آزمون­های آماری تی تست و کای اسکوئر انجام شد. میزانp  کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: بروز علائم بالینی DVT در بیماران دریافت کننده بیهوشی عمومی 14/17% و در بیماران دریافت‌کننده بی­حسی نخاعی 85/22% بود که بروز این علائم در گروه بیماران دریافت‌کننده بی­حسی نخاعی به‌طور غیرمعناداری بالاتر از گروه دریافت‌کنندگان بیهوشی عمومی بود (103/0=p)؛ با این حال بروز این عارضه پس از انجام سونوگرافی داپلر در هر دو گروه برابر صفر بود.
نتیجه‌گیری: بروز علائم بالینی DVT در زنان کاندید هیسترکتومی شکمی که به یکی از دو روش بیهوشی عمومی و بی­حسی نخاعی تحت جراحی قرار گرفته بودند، تفاوت معنادار نداشت؛ به این معنا که نوع روش بیهوشی در بروز ترومبوز ورید عمقی سهمی ندارد.

کلیدواژه‌ها

عنوان مقاله [English]

The incidence of the symptoms of deep vein thrombosis in general anesthesia and spinal anesthesia after abdominal hysterectomy

نویسندگان [English]

  • Mansour Rezaee 1
  • Nafiseh Sheghaghi Ilkhchi 2
  • Mina Zeinalzadeh 2
  • Dara Alvandfar 3
1 Anesthesiologist, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
2 B.Sc. Student of Anesthesia, School of Paramedical, Tabriz University of Medical Sciences, Tabriz, Iran.
3 Assistant Professor, Department of General and Vascular Surgery, Comfortable Breathing and Sleep Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
چکیده [English]

Introduction: Considering that anesthesia method is involved in the incidence of the symptoms of deep vein thrombosis (DVT) after abdominal hysterectomy, and this can be effective on the development of DVT, and lack of accurate information about the occurrence or non-occurrence of it leads to the start of treatment; this study was performed with aim to compare the incidence of the symptoms of DVT in general anesthesia and spinal anesthesia after abdominal hysterectomy.
Methods: This descriptive-analytical study was performed in 2019-2020 with participation of 70 women after abdominal hysterectomy that underwent the surgery under one of the two methods of general anesthesia and spinal anesthesia in Al-Zahra Hospital, Tabriz. DVT was diagnosed by the checklist of clinical symptoms and Doppler ultrasound. Data were analyzed by SPSS statistical software (version 22) and t-test and Chi-square test. P<0.05 was considered statistically significant.
Results: The incidence of DVT symptoms in patients receiving general anesthesia was 17.14% and in those receiving spinal anesthesia was 22.85%; the incidence of these symptoms in the group receiving spinal anesthesia was non-significantly higher than the group receiving general anesthesia (P = 0.103). However, the incidence of this complication after Doppler ultrasound was zero in both groups.
Conclusion: The incidence of DVT was not significantly different in women candidates for abdominal hysterectomy that underwent surgery under one of the two methods of general anesthesia and spinal anesthesia; however, the method of anesthesia has no role in the incidence of DVT.

کلیدواژه‌ها [English]

  • Abdominal hysterectomy
  • Deep vein thrombosis
  • General anesthesia
  • Spinal anesthesia

مراجع

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مجله زنان، مامایی و نازایی ایران
دوره 24، شماره 11
دی 1400
صفحه 45-51

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