Research progress on drug prevention of venous thromboembolism in elderly patients undergoing hip fracture surgery
10.3760/cma.j.cn115682-20210309-01034
- VernacularTitle:老年髋部骨折手术患者静脉血栓栓塞症药物预防的研究进展
- Author:
Na BI
1
;
Yinping REN
Author Information
1. 解放军总医院第八医学中心骨科中心，北京 100091
- Keywords:
Review;
Aged;
Hip fractures;
Operation;
Osteoporotic fractures;
Venous thromboembolism;
Drug prevention
- From:
Chinese Journal of Modern Nursing
2021;27(35):4887-4892
- CountryChina
- Language:Chinese
-
Abstract:
The safe and effective use of anticoagulants is the basis for the prevention of venous thromboembolism in elderly patients after hip fractures surgery. Postoperative general prevention, physical prevention and drug prevention should be coordinated. This article reviewed the development process of drug prevention for venous thromboembolism after hip fracture surgery in the elderly, compared the anticoagulant mechanisms and nursing points of parenteral anticoagulants, new oral anticoagulants, coumarin anticoagulants, antiplatelet aggregation drugs and oral traditional Chinese medicine prescriptions, and introduced the role of clotting time monitoring, platelet count, D-dimer, thromboelastogram, incidence of bleeding events, and gastrointestinal reactions in the monitoring of the preventive effect of venous thromboembolism drugs.
