

浏览全部资源
扫码关注微信
北京中医药大学东直门医院 骨伤科, 北京, 100700
Received:04 September 2025,
Revised:2025-10-29,
Accepted:20 November 2025,
Published Online:16 January 2026,
移动端阅览
WANG Ting, LIANG Xuejiao, WANG Xufeng, et al. Nursing Experience of Chinese Herbal Ointment Massage in Effectively Preventing Lower Limb Deep Vein Thrombosis After Lumbar Surgery[DB/OL].Clinical Archives of Integrative Medicine, 2026.
WANG Ting, LIANG Xuejiao, WANG Xufeng, et al. Nursing Experience of Chinese Herbal Ointment Massage in Effectively Preventing Lower Limb Deep Vein Thrombosis After Lumbar Surgery[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI: 10.12209/CAIM202509040004.
本文总结中药膏摩预防腰椎术后下肢深静脉血栓形成(DVT)的护理体会。在常规术后护理基础上,通过实施中药膏摩外敷联合手法按摩下肢的综合护理干预,观察患者下肢肿胀程度、周径差及D-二聚体水平等指标,结果显示该干预可有效降低术后DVT发生风险。这一实践体现中医“治未病”思想在围手术期护理中的优势,患者术后生活质量亦显著提升。
This article summarizes the nursing experience of using Chinese herbal ointment massage to prevent lower limb deep vein thrombosis (DVT) after lumbar surgery. On the basis of routine postoperative care, a comprehensive nursing intervention combining topical application of herbal ointment with manual lower limb massage was implemented. Parameters such as lower limb swelling degree, circumference difference, and D-dimer levels were observed. The results demonstrated that this intervention effectively reduced the risk of postoperative DVT. This practice highlights the advantages of the TCM "preventive treatment" concept in perioperative nursing, with significant improvements in patients' postoperative quality of life.
李勇奇 , 罗瑞 , 汪少波 , 等 . 椎间孔镜下腰椎椎间植骨融合术和微创经椎间孔腰椎椎间融合术治疗腰椎退行性疾病的疗效比较 [J]. 实用老年医学 , 2024 , 38 ( 3 ): 273 - 277 .
LI Y Q , LUO R , WANG S B , et al . Comparison of clinical efficacy of percutaneous endoscopic transforaminal lumbar interbody fusion and minimally invasive transforaminal lumbar interbody fusion in the treatment of lumbar degenerative diseases [J]. Pract Geriatr , 2024 , 38 ( 3 ): 273 - 277 . (in Chinese)
黄传钰 , 刘玲 , 吴节妹 , 等 . 认识下肢深静脉血栓与长期卧床的相关性 [J]. 家庭生活指南 , 2025 , 41 ( 8 ): 61 - 62 .
HUANG C Y , LIU L , WU J M , et al . Understanding the Correlation between Deep Vein Thrombosis of the Lower Extremities and Prolonged Bed Rest [J]. Fam Life Guide , 2025 , 41 ( 8 ): 61 - 62 . (in Chinese)
ZUCKERMAN S L , BERVEN S , STREIFF M B , et al . Management of anticoagulation/antiplatelet medication and venous thromboembolism prophylaxis in elective spine surgery: concise clinical recommendations based on a modified Delphi process [J]. Spine , 2023 , 48 ( 5 ): 301 - 309 .
薛明新 , 吕建军 , 陈莹 , 等 . 膏摩法对膝骨关节炎模型兔抗炎作用实验研究 [J]. 辽宁中医药大学学报 , 2019 , 21 ( 7 ): 16 - 19 .
XUE M X , LYU J J , CHEN Y , et al . Experimental study of anti inflammatory effect of ointment rub method on rabbit model of knee osteoarthritis [J]. J Liaoning Univ Tradit Chin Med , 2019 , 21 ( 7 ): 16 - 19 . (in Chinese)
何志艳 , 郑淑宇 , 徐云东 , 等 . 中药透皮给药技术在骨关节炎防治中的应用研究进展 [J]. 中国民族民间医药 , 2024 , 33 ( 22 ): 55 - 59 .
HE Z Y , ZHENG S Y , XU Y D , et al . Research progress in the application of transdermal drug delivery technology of traditional Chinese medicine in the prevention and treatment of osteoarthritis [J]. Chin J Ethnomed Ethnopharmacy , 2024 , 33 ( 22 ): 55 - 59 . (in Chinese)
王培霞 , 田亚明 , 李丹丹 , 等 . 预防性护理干预对下肢骨折患者压疮及静脉血栓的影响分析 [J]. 四川解剖学杂志 , 2019 , 27 ( 3 ): 153 - 154 .
WANG P X , TIAN Y M , LI D D , et al . Analysis of the impact of preventive nursing interventions on pressure ulcers and venous thrombosis in patients with lower limb fractures [J]. Sichuan J Anat , 2019 , 27 ( 3 ): 153 - 154 . (in Chinese)
陈蕾 . 围手术期住院患者Caprini静脉血栓风险评估模型在VTE预防中的应用及其效果的病例对照研究 [D]. 沈阳 : 中国医科大学 , 2023 .
李呈芹 , 王建国 , 孙岩 , 等 . 基于Caprini和IMPROVE评分的分级护理预防腹部手术后深静脉血栓形成的临床观察 [J]. 中国中西医结合外科杂志 , 2020 , 26 ( 1 ): 136 - 141 .
LI C Q , WANG J G , SUN Y , et al . Clinical observation on prevention of deep venous thrombosis after abdominal surgery by graded nursing based on caprini and IMPROVE score [J]. Chin J Surg Integr Tradit West Med , 2020 , 26 ( 1 ): 136 - 141 . (in Chinese)
代俊利 , 李金玲 , 孙同友 . 四种不同量表对住院肿瘤患者深静脉血栓形成的预测价值 [J]. 河北医学 , 2020 , 26 ( 5 ): 845 - 850 .
DAI J L , LI J L , SUN T Y . The predictive value of four different scales for deep vein thrombosis in hospitalized tumor patients [J]. Hebei Med , 2020 , 26 ( 5 ): 845 - 850 . (in Chinese)
黎凌云 , 李笑芬 , 李翠莲 , 等 . 基于改良Caprini风险评估模型的预见性护理对降低骨科患者静脉血栓栓塞发生率的作用 [J]. 山西医药杂志 , 2020 , 49 ( 12 ): 1585 - 1587 .
LI L Y , LI X F , LI C L , et al . The role of predictive nursing based on the modified caprini risk assessment model in reducing the incidence of venous thromboembolism in orthopedic patients [J]. Shanxi Med J , 2020 , 49 ( 12 ): 1585 - 1587 . (in Chinese)
吕露露 , 李文雄 , 张雪静 , 等 . Caprini血栓风险评估量表在骨科术后患者静脉血栓风险预测中的应用 [J]. 现代临床护理 , 2022 , 21 ( 3 ): 19 - 23 .
LV L L , LI W X , ZHANG X J , et al . Validity of Caprini Risk Assessment Scale in predicting the risk of venous thromboembolism after orthopaedic surgery [J]. Mod Clin Nurs , 2022 , 21 ( 3 ): 19 - 23 . (in Chinese)
郑文旭 . 三种压力性损伤评估量表在老年脊柱后路手术患者中的应用研究 [D]. 呼和浩特 : 内蒙古医科大学 , 2024 .
朱利思 , 汤曼力 , 谭杰 , 等 . 创伤患者静脉血栓栓塞症风险预测评估工具的比较 [J]. 护理学杂志 , 2025 , 40 ( 13 ): 37 - 41 .
ZHU L S , TANG M L , TAN J , et al . Comparison of risk prediction and assessment tools for venous thromboembolism in trauma patients [J]. J Nurs Sci , 2025 , 40 ( 13 ): 37 - 41 . (in Chinese)
王羽仪 . Braden量表联合预见性护理在创伤骨科卧床患者压力性损伤预防中的应用 [J]. 医学前沿 , 2025 ( 2 ): 70 - 71 .
WANG Y Y . Application of braden scale combined with predictive nursing in the prevention of pressure injuries in bedridden patients with traumatic orthopedics [J]. Front Med , 2025 ( 2 ): 70 - 71 . (in Chinese)
刁姝 , 徐建珍 , 陶绪梅 , 等 . 神经内科长期卧床患者实施压力性损伤分级评估护理干预的应用效果 [J]. 国际护理学杂志 , 2023 , 42 ( 16 ): 2995 - 2999 .
DIAO S , XU J Z , TAO X M , et al . The application effect of pressure injury grading assessment and nursing intervention for long-term bedridden patients in the neurology department [J]. Int J Nurs , 2023 , 42 ( 16 ): 2995 - 2999 . (in Chinese)
付丽明 , 邓水珠 , 林小珍 , 等 . 基于Braden评分的压力性损伤风险等级与转归情况的结局评价 [J]. 循证护理 , 2022 , 8 ( 15 ): 2084 - 2088 .
FU L M , DENG S Z , LIN X Z , et al . Outcome evaluation of pressure injury risk level and outcome based on Braden Score [J]. Chin Evid Based Nurs , 2022 , 8 ( 15 ): 2084 - 2088 . (in Chinese)
张凤霞 . 基于焦虑自评量表(SAS)的三甲医院护士群体心理健康状况及影响因素研究 [D]. 中国医学科学院 , 2023 .
吕姣姣 , 张樱严 , 陈艳 . 平移轴向翻身法应用于胸部手术患者中的效果 [J]. 吉林医学 , 2022 , 43 ( 2 ): 546 - 548 .
LV J J , ZHANG Y Y , CHEN Y . Observation on the effect of translation and axial turning method applied to patients undergoing thoracic surgery [J]. Jilin Med J , 2022 , 43 ( 2 ): 546 - 548 . (in Chinese)
李桐 , 王苑力 , 郭咪咪 , 等 . 基于生姜特性的姜油功效及应用前景 [J]. 粮油食品科技 , 2020 , 28 ( 5 ): 144 - 149 .
LI T , WANG Y L , GUO M M , et al . Efficacy and application prospect of ginger oil with ginger characteristics [J]. Sci Technol Cereals Oils Foods , 2020 , 28 ( 5 ): 144 - 149 . (in Chinese)
张峰 , 董宝强 , 林星星 . 腰痛的 “经脉病” 与 “经筋病” 辨析 [J]. 中医学报 , 2022 , 37 ( 10 ): 2088 - 2091 .
ZHANG F , DONG B Q , LIN X X . Differentiation and analysis of “meridian disease” and “meridian tendon disease” of lumbago [J]. China J Chin Med , 2022 , 37 ( 10 ): 2088 - 2091 . (in Chinese)
钟飞庄 , 林其声 , 杨双莲 , 等 . 电针足三里预防腹部外科手术后下肢深静脉血栓形成的临床研究 [J]. 光明中医 , 2020 , 35 ( 13 ): 2034 - 2037 .
ZHONG F Z , LIN Q S , YANG S L , et al . Clinical observation on electroacupuncture at Zusanli (ST36) in the prevention of deep vein thrombosis after abdominal surgery [J]. Guangming J Chin Med , 2020 , 35 ( 13 ): 2034 - 2037 . (in Chinese)
武庭翰 , 唐利娟 , 朱洪 , 等 . 中医五行音乐联合疗法治疗睡眠障碍的研究进展 [J]. 世界睡眠医学杂志 , 2025 , 12 ( 2 ): 484 - 487 .
WU T H , TANG L J , ZHU H , et al . Study on the progress of traditional Chinese medicine five-elements music combined therapy in the treatment of sleep disorders [J]. World J Sleep Med , 2025 , 12 ( 2 ): 484 - 487 . (in Chinese)
梁曼 . 基于快速康复理念下的精细化护理模式对经皮椎弓根钉微创手术治疗脊柱骨折患者症状改善与不同时间VAS评分影响 [C]// 临床医学创新与实践学术研讨会论文集 . 重庆 , 2025 : 466 - 469 .
AMBESH P , OBIAGWU C , SHETTY V . Homan’s sign for deep vein thrombosis: a grain of salt? [J]. Indian Heart J , 2017 , 69 ( 3 ): 418 - 419 .
SOLARU S , ALLURI R K , WANG J C , et al . Venous thromboembolism prophylaxis in elective spine surgery [J]. Global Spine J , 2021 , 11 ( 7 ): 1148 - 1155 .
0
Views
0
下载量
0
CSCD
Publicity Resources
Related Articles
Related Author
Related Institution
京公网安备11010802024621