3 курс / Фармакология / Диссертация_Шаталова_О_В_Сравнительная_клинико_экономическая_оценка
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Приложение1. |
Индекс Wells дляоценкивероятности |
|
ТГВнижних |
|
конечностейпоклиническимданным |
|
|
|
|
|
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|
Признак |
|
Балл |
|
|
|
|
Активныйрак(настоящпредшествующиевремяили 6 |
|
+1 |
|
месяцев) |
|
|
|
|
|
|
|
Плегияилиглубокийпарез, |
либонедавняяиммобилизация |
|
+1 |
нижней(их)конечности()помощьюгипса |
|
|
|
|
|
|
|
Постельныйрежим≥3сутиликруп≤ерацияная4мес |
|
|
+1 |
|
|
|
|
Болезненностьприпальпациипоходугл венбоких |
|
|
+1 |
|
|
|
|
Отеквсейноги |
|
|
+1 |
|
|
|
|
Разницавотекеикрсм>3науровнесм10нижеtib |
|
ial |
+1 |
tuberosity |
|
|
|
|
|
|
|
Отексямкнабоногельной |
|
|
+1 |
|
|
|
|
Расширенныеколлатеральныеповерхностные( |
|
+1 |
|
варикоз) |
|
|
|
|
|
|
|
ТГВилиТЭЛАванамнезе |
|
|
+1 |
|
|
|
|
Другойдиагнозкакминимумстольжевероятен |
|
|
–2 |
|
|
|
|
ВероятностьналичияТГВнижко :ихечностей |
|
|
Суммабаллов |
— низкая(3%) |
|
|
0 |
— средняя(17%) |
|
|
1-2 |
— высокая(75%) |
|
|
≥3 |
|
|
|
|
230
Приложение2 . Схемаисследования
Визит 0 (скрининг)
День -2...-1
Подписание информированного согласия Включение пациента в исследование
!
Визит 1
День 1
Рандомизация больных, стратификация по риску развития кровотечений
!
Группа I |
Группа II |
Группа III |
|||
Ривароксабан |
Стандартная терапия |
Дабигатран |
|||
" |
# |
" |
# |
" |
# |
Страта 1 |
Страта 2 |
Страта 3 |
Страта 4 |
Страта 5 |
Страта 6 |
Высокий |
Низкий |
Высокий |
Низкий |
Высокий |
Низкий |
риск кровотечений |
риск кровотечений |
риск кровотечений |
риск кровотечений |
риск кровотечений |
риск кровотечений |
!
Визит 2
Неделя 1 (Оценка состояния пациента)
!
Визит 3
Неделя 4 (Оценка состояния пациента)
!
Визит 4
Неделя 12 (Оценка состояния пациента)
!
Визит 5
Неделя 24 (Окончание терапии) Заключительный осмотр
!