下肢深静脉血栓护理干预研究进展
摘要
下肢深静脉血栓形成后,血栓可脱落随血液回流引起肺栓塞,但更多的血栓会依附于静脉管壁,附着于静脉内膜上,激发静脉壁的炎症反应,造成血栓与静脉壁粘连,并逐渐发生纤维机化,使下肢静脉最终形成多发狭窄,边缘毛糙,管径粗细不一的再通静脉。同时,静脉瓣膜会受到不同程度的破坏,导致静脉返流,引起一系列临床症状,即血栓后综合征(PTS)。目前临床上针对PTS的治疗疗程长,起效慢,效果并不令人满意,于是对于下肢深静脉血栓的预防及治疗就显得尤为重要,下肢深静脉血栓形成患者,除了采取合适的治疗措施之外,还需要采取针对性的护理干预措施,提高患者治疗效果,帮助患者更好的康复,有效的预防PTS的发生。
引文
[1]张晓慧,马永琛.外科术后下肢静脉脉血栓形成的治疗护理[J].齐鲁护理杂志,2016,22(22):73-75.
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[4]Planès A,Vochelle N,Fagola M.Total hip replacement and deep vein thrombosis.A venographic and necropsy study[J].Bone Joint Surg Br,1990,72(1):9-13.
[5]Salzman E W,Harris W H.Prevention of venous thromboembolism in orthopedic patients[J].Bone Joint Surg Am,1976,58(7):903-913.
[6]张小娟.老年髋部骨折患者静脉血栓症危险因素分析及预防护理[J].护理实践与研究,2013,10(2):57-58.
[7]张劲梅,吴丹红,张兆钰,等.骨科术后静脉血栓的筛查和预防药物应用的护理[J].临床合理用药杂志,2012,5(2):148-149.
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[9]Loudon J R,McGarrity G,Vallance R,et al.The fibrinogen uptake test after hip surgery[J].Br J Surg,1978,65(9):616-618.
[10]Freedman K B,Brookenthal K R,Fitzgerald R H Jr,et al.A meta analysis of thromboembolic prophylaxis foIlowing elective total hip arthroplasty[J]Bone Joint Surg Am,2000,82-A(7):929-938.
[11]Gilles Pie W,Murray D,Gregg P J,et al.Risk and benefit of prophylaxis against venous thromboembolism in orthopedic surgery[J].Bone Joint Surg,2000,82-B(1):475-479.
[12]Suzuki N,Yoshioka N,Ohara T,et al.Risk factors for perioperative venous thromboembolism:A retrospective study in Japanese women with gynecologic diseases[J].Thrombsis J,2010,8(1):17.
[13]LU Ning,Eduardo A,Salvati.Multimodal prophylaxis for venous thromboembolic disease after total hip and knee arthroplasty:current perspectives[J].Chinese Journalof Traumatology,2010,13(6):362-369.
[14]Samuel Z,Goldhaber.Risk Factors for Venous Thromboembolism[J]Journal of the American College of Cardiology,2010,56(1):1-7.
[15]Charles T,Edmond.Basic mechanisms and pathogenesis of venous thrombosis[J].Blood Reviews,2009,23(1):225-229.
[16]Kim Y H,Oh S H,Kim J S.Incidence and natura1 history of deep-vein thrombosis after total hip arthroPlasty.A Prospective and random sided lineal study[J].Bone Joint Surg,2003,5:661-665.
[17]张博,李晓林.创伤后深静脉血栓形成及急性发肺栓塞的防治[J].实用骨科杂志,2011,5(25):441-445.
[18]SAKAI T,IZUMI M,KUMAGAI K,et al.Effects of a Foot Pump on theIncidence of Deep Vein Thrombosis After Total Knee Arthroplasty in Patients GivenEdoxaban:A Randomized Controlled Study[J]Medicine,2016,95(1):e2247.
[19]Restrepo P,Jameson D L,Carroll D L.Improving deep veinthrombosis prophylaxis with mechanical modalities in surgical intensive care unit[J]Journal of nursing care quality,2015,30(1):31-37.
[20]董显琼,蒋志琴,李志芳,等.骨科手术后下肢深静脉血栓形成的原因分析及护理对策[J].实用临床护理学杂志,2018,3(36):49.
[21]田丰.下肢深静脉血栓形成的预防及护理进展[J].当代护士(中旬刊),2017,24(3):5-6.
[2]Freedman K B,Brookenthal K R,Fitzgerald R H Jr,et al.A meta-analysis of thrombo-embolic Prophylaxis foIlowing elective total hip arthroplasty[J]Bone Joint Surg Am,2000,82-A(7):929-938.
[3]Lieberman J R,Geerts W H.Prevention of venous thromboembolism after total hip and knee arthroplasty[J].Bone Joint Surg Am,1994,76(8):1239-1250.
[4]Planès A,Vochelle N,Fagola M.Total hip replacement and deep vein thrombosis.A venographic and necropsy study[J].Bone Joint Surg Br,1990,72(1):9-13.
[5]Salzman E W,Harris W H.Prevention of venous thromboembolism in orthopedic patients[J].Bone Joint Surg Am,1976,58(7):903-913.
[6]张小娟.老年髋部骨折患者静脉血栓症危险因素分析及预防护理[J].护理实践与研究,2013,10(2):57-58.
[7]张劲梅,吴丹红,张兆钰,等.骨科术后静脉血栓的筛查和预防药物应用的护理[J].临床合理用药杂志,2012,5(2):148-149.
[8]沈彬,杨静,裴福兴.骨水泥型全髋关节置换术中的严重并发症及其防治措施[J].四川医学,2006,27(6):615-617.
[9]Loudon J R,McGarrity G,Vallance R,et al.The fibrinogen uptake test after hip surgery[J].Br J Surg,1978,65(9):616-618.
[10]Freedman K B,Brookenthal K R,Fitzgerald R H Jr,et al.A meta analysis of thromboembolic prophylaxis foIlowing elective total hip arthroplasty[J]Bone Joint Surg Am,2000,82-A(7):929-938.
[11]Gilles Pie W,Murray D,Gregg P J,et al.Risk and benefit of prophylaxis against venous thromboembolism in orthopedic surgery[J].Bone Joint Surg,2000,82-B(1):475-479.
[12]Suzuki N,Yoshioka N,Ohara T,et al.Risk factors for perioperative venous thromboembolism:A retrospective study in Japanese women with gynecologic diseases[J].Thrombsis J,2010,8(1):17.
[13]LU Ning,Eduardo A,Salvati.Multimodal prophylaxis for venous thromboembolic disease after total hip and knee arthroplasty:current perspectives[J].Chinese Journalof Traumatology,2010,13(6):362-369.
[14]Samuel Z,Goldhaber.Risk Factors for Venous Thromboembolism[J]Journal of the American College of Cardiology,2010,56(1):1-7.
[15]Charles T,Edmond.Basic mechanisms and pathogenesis of venous thrombosis[J].Blood Reviews,2009,23(1):225-229.
[16]Kim Y H,Oh S H,Kim J S.Incidence and natura1 history of deep-vein thrombosis after total hip arthroPlasty.A Prospective and random sided lineal study[J].Bone Joint Surg,2003,5:661-665.
[17]张博,李晓林.创伤后深静脉血栓形成及急性发肺栓塞的防治[J].实用骨科杂志,2011,5(25):441-445.
[18]SAKAI T,IZUMI M,KUMAGAI K,et al.Effects of a Foot Pump on theIncidence of Deep Vein Thrombosis After Total Knee Arthroplasty in Patients GivenEdoxaban:A Randomized Controlled Study[J]Medicine,2016,95(1):e2247.
[19]Restrepo P,Jameson D L,Carroll D L.Improving deep veinthrombosis prophylaxis with mechanical modalities in surgical intensive care unit[J]Journal of nursing care quality,2015,30(1):31-37.
[20]董显琼,蒋志琴,李志芳,等.骨科手术后下肢深静脉血栓形成的原因分析及护理对策[J].实用临床护理学杂志,2018,3(36):49.
[21]田丰.下肢深静脉血栓形成的预防及护理进展[J].当代护士(中旬刊),2017,24(3):5-6.