Research Progress in the Prevention and Treatment of Deep Venous Thrombosis in Lower Limb Fracture
10.13359/j.cnki.gzxbtcm.2024.06.041
- VernacularTitle:下肢骨折深静脉血栓防治的研究进展
- Author:
Chu-Rong ZHENG
1
;
Peng GU
;
Wen-Zheng WU
;
Neng-Xian TAN
;
Lie-Liang LUO
;
Chong-Zhi OUYANG
;
Xiao-Hui ZHENG
Author Information
1. 广州中医药大学,广东广州 510006
- Keywords:
lower limb fracture;
deep vein thrombosis;
measures for prevention and treatment;
perioperative nursing;
intervention with medical auxiliary instruments;
drug therapy;
traditional Chinese medicine therapy
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2024;41(6):1647-1652
- CountryChina
- Language:Chinese
-
Abstract:
Deep vein thrombosis(DVT)is a common complication after surgery for lower limb fracture.It has the features of high morbidity,high disability rate and high mortality.At present,the measures for clinical prevention and treatment of post-operative DVT in lower limb fracture mainly include perioperative nursing,intervention with medical auxiliary instruments,western medicine prevention and treatment,traditional Chinese medicine(TCM)intervention,and patients'self-cooperation.The patients'self-cooperation is the basis for the smooth implementation of other measures for prevention and treatment,and the patients'active cooperation is the premise of achieving the efficacy of prevention and treatment.Perioperative nursing is helpful for the patients to understand the risk factors of postoperative DVT and the possible risks after the occurrence of DVT,guides the patients to choose the food,assists the patients to do postoperative exercises,improves the level of patients'hemorheological indexes,and reduce the incidence of postoperative DVT.Medical devices are helpful for assisting patients to do postoperative rehabilitation exercises,improving the levels of hemodynamic indicators,promoting patients'rehabilitation and reducing the incidence of postoperative DVT.Western medicines such as low molecular weight heparin,Rivaroxaban,Enoxaparin and other anticoagulant drugs can reduce the aggregation of coagulation factors and blood viscosity,and reduce the incidence of postoperative DVT.TCM interventions mainly include oral administration of Chinese medicine and external treatment such as acupuncture,moxibustion and massage.Oral administration of Chinese medicine is helpful for improving blood flow status.Acupuncture,moxibustion and massage are beneficial to the activation of the function of zang-fu organs,and can stimulate the healthy qi to improve the qi-blood state of the whole body.Each method of prevention and treatment has its advantages and disadvantages.In clinical application,reasonable prevention and treatment methods should be selected according to the specific conditions and individual conditions of the patients.TCM intervention of DVT can be performed in patients with lower limb fracture before and after surgery,and has the advantages of low cost and definite efficacy,which is worthy of continuous research and inheritance and innovation.
