脊髓损伤后下肢静脉血栓的研究进展  

Research progress of venous thrombosis of lower limbs after spinal cord injury

作　　者：曾佳[1] 杨杰[1] 蒋红英[1] ZENG Jia;YANG Jie;JIANG Hongying(Center of Rehabilitation Medicine/Key Laboratory of Rehabilitation Medicine of Sichuan Province,West China Hospital of Sichuan University,Chengdu,Sichuan,610041)

机构地区：[1]四川大学华西医院康复医学中心/康复医学四川省重点实验室,四川成都610041

出　　处：《实用临床医药杂志》2023年第21期144-148,共5页Journal of Clinical Medicine in Practice

基　　金：四川大学华西护理学科发展专项基金(HXHL21033)。

摘　　要：下肢静脉血栓是脊髓损伤(SCI)患者围术期伴随的并发症,是造成患者围术期非预期性死亡的重要因素。引发SCI患者下肢静脉血栓形成的原因包括手术因素、环境因素及个人因素。弹力袜、间歇性充气加压泵等物理措施及抗凝药物的使用是预防下肢静脉血栓形成、降低SCI术后并发症发生率的关键途径。本文对SCI患者下肢静脉血栓形成的危险因素、物理预防措施、药物预防措施及相关并发症进行综述,为降低SCI后下肢静脉血栓发生率及改善患者预后提供依据。Venous thrombosis of lower limbs is a perioperative complication in patients with spinal cord injury(SCI),and it is an important factor leading to unexpected perioperative death.The causes of venous thrombosis of lower limbs in SCI patients include surgical factors,environmental factors and personal factors.Application of physical measures such as elastic socks and intermittent inflation pumps as well as anticoagulants is a key way to prevent venous thrombosis of lower limbs and reduce the incidence of postoperative complications after SCI.This paper reviewed the risk factors,physical prevention measures,drug prevention measures and related complications of venous thrombosis of lower limbs in SCI patients,in order to provide a basis for reducing the incidence of venous thrombosis of lower limbs after SCI and improving patients′prognosis.

关 键 词：脊髓损伤 下肢静脉血栓 弹力袜 间歇性充气加压泵 抗凝药物 

分 类 号：R651.2[医药卫生—外科学] R619.2[医药卫生—临床医学]