A review on the prevention and treatment of deep venous thrombosis of lower extremity in orthopedics in traditional Chinese medicine and Western medicine
Deep Vein Thrombosis(DVT)of lower extremity is an acute venous thromboembolic disease in which clot formation begins in the deep veins of the lower leg and develops proximally.It is one of the most common complications in orthopaedic perioperative period.The treatment of lower extremity DVT is longer period and more difficult,which will increase the medical economic burden and surgical risk,and is also one of the main causes of death in orthopaedic patients during perioperative period.DVT is a major challenge for the medical community,and studies have suggested that the incidence of DVT in the perioperative period of major orthopaedic surgery exceeds 50%.Although the incidence of DVT varies from site to site,there is a risk of pulmonary embolism due to embolic detachment.If it can be effectively prevented in the early stage,it will be able to drastically reduce the pain and economic burden of patients.So far,clinicians have actively adopted various prevention and control measures,and expert consensus and guidelines have been developed for this purpose.Despite of drug anticoagulation prevention under the guidance of the guidelines,there are still many ad-verse reactions which are difficult to control,especially for elderly patients,there is a high risk of bleeding.Some patients lose their lives due to pulmonary embolism caused by thrombus shedding,which has a negative impact on both their own small family and the communi-ty.Numerous scholars have conducted numerous studies on the prevention and treatment of lower limb DVT.Traditional Chinese medicine(TCM)has become a research hotspot in the prevention of lower limb DVT in recent years due to its advantages of safety,high efficiency and low adverse reactions.This paper will comprehensively discuss the pathogenesis and prevention measures of DVT from the perspec-tive of TCM and Western medicine,in order to explore more effective and safe early prevention and treatment measures for DVT,and pro-vide certain basis and reference for optimizing the prevention and treatment of DVT.
Lower extremity deep vein thrombosisIntegration of traditional Chinese and Western medicineReview