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下肢深静脉血栓形成的介入治疗与护理进展

Advancements in the interventional therapy and nursing care on deep vein thrombosis in the lower extremities.

作者信息

Jia Chun-Yi, Dai Dan-Dan, Bi Xin-Yuan, Zhang Xia, Wang Yi-Ning

机构信息

Department of Intervention, The Second Affiliated Hospital of Mudanjiang Medical University, Mudanjiang, China.

Department of Nursing Care, The Second Affiliated Hospital of Mudanjiang Medical University, Mudanjiang, China.

出版信息

Front Med (Lausanne). 2024 Jul 26;11:1420012. doi: 10.3389/fmed.2024.1420012. eCollection 2024.

Abstract

This review examines recent advancements in interventional treatments and nursing care for lower extremity deep vein thrombosis (DVT), highlighting significant innovations and their clinical applications. It discusses the transition to novel anticoagulants such as Direct Oral Anticoagulants, which offer a safer profile and simplified management compared to traditional therapies. Mechanical interventions, including balloon angioplasty and venous stenting, are detailed for their roles in improving immediate and long-term vascular function in acute DVT cases. Furthermore, the use of image-guided techniques is presented as essential for enhancing the accuracy and safety of DVT interventions. Additionally, this study outlines advances in nursing care strategies, emphasizing comprehensive preoperative and postoperative evaluations to optimize patient outcomes. These evaluations facilitate tailored treatment plans, crucial for managing the complex needs of DVT patients. Long-term care strategies are also discussed, with a focus on patient education to ensure adherence to treatment protocols and to prevent recurrence. The synthesis aims to inform healthcare professionals about cutting-edge practices in DVT management, promoting a deeper understanding of how these advancements can be integrated into clinical practice. It also underscores the necessity for ongoing research to address challenges such as cost-effectiveness and patient compliance, ensuring that future treatments are both accessible and effective.

摘要

本综述探讨了下肢深静脉血栓形成(DVT)介入治疗和护理的最新进展,重点介绍了重大创新及其临床应用。它讨论了向新型抗凝剂(如直接口服抗凝剂)的转变,与传统疗法相比,新型抗凝剂具有更安全的特性和更简化的管理方式。详细介绍了机械干预措施,包括球囊血管成形术和静脉支架置入术,它们在改善急性DVT病例的即时和长期血管功能方面所起的作用。此外,还介绍了影像引导技术的应用,认为其对于提高DVT干预的准确性和安全性至关重要。此外,本研究概述了护理策略的进展,强调全面的术前和术后评估以优化患者预后。这些评估有助于制定个性化的治疗方案,这对于满足DVT患者的复杂需求至关重要。还讨论了长期护理策略,重点是患者教育,以确保患者遵守治疗方案并预防复发。本综述旨在让医疗保健专业人员了解DVT管理的前沿实践,促进对如何将这些进展融入临床实践的更深入理解。它还强调了持续研究以应对成本效益和患者依从性等挑战的必要性,确保未来的治疗既易于获得又有效。

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