Observation on the application of traditional Chinese medicine elastic stockings in prevention of DVT after laparoscopic gastric cancer surgery
10.3969/j.issn.1673-9701.2025.28.003
- VernacularTitle:中药弹力袜在腹腔镜胃癌术后预防DVT的应用观察
- Author:
Yan SHEN
1
;
Xiaoping ZHU
1
Author Information
1. 嘉兴市中医医院普外科,浙江嘉兴 314000
- Publication Type:Journal Article
- Keywords:
Deep venous thrombosis;
Laparoscopic gastric cancer surgery;
Traditional Chinese medicine elastic stockings
- From:
China Modern Doctor
2025;63(28):9-12,42
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application effect of traditional Chinese medicine elastic stockings in preventing deep venous thrombosis(DVT)after laparoscopic gastric cancer surgery.Methods A total of 96 patients who underwent gastric cancer surgery at Jiaxing Hospital of Traditional Chinese Medicine from January 2022 to June 2024 and were assessed as medium-to-high risk for Caprini thrombosis were selected and divided into control group and treatment group,with 48 cases in each group.The patients of control group received the conventional DVT prevention protocol,while the patients of treatment group applied self-made traditional Chinese medicine elastic stockings on the basis of control group.The prothrombin time(PT),activated partial thromboplastin(APTT),D-dimer(DD),plasma viscosity,erythrocyte aggregation index,thigh circumference difference,comfort status scale and color Doppler ultrasound manifestations of two groups of patients before and after the operation were compared.Results On the 3rd and 7th days after the operation,the PT and APTT of patients in treatment group were significantly longer than those in control group,the DD,plasma viscosity,erythrocyte aggregation index and thigh circumference difference were significantly lower than those in control group,and the score of comfort status scale was significantly higher than that in control group(P<0.05).On the 3rd days after the operation,the various ultrasound manifestations of patients in treatment group were significantly better than those in control group(P<0.05).During hospitalization,the incidence of DVT in treatment group was significantly lower than that in control group(P<0.05).Conclusion Traditional Chinese medicine elastic stockings can improve the coagulation function,hemorheology and lower extremity swelling of patients after laparoscopic gastric cancer surgery,enhance comfort and reduce the incidence of DVT.