下肢静脉疾病慢病管理新理念  

New concepts of chronic disease management for lower limb venous disease

作　　者：章乃鼎 沈世凯[2] 陈兵[1] 吴丹明[2] ZHANG Nai-ding;SHEN Shi-kai;CHEN Bing;WU Dan-ming(Department of Vascular Surgery,the Sec-ond Affiliated Hospital,College of Medicine,Zhejiang University,Hangzhou 310000,China;不详)

机构地区：[1]浙江大学医学院附属第二医院血管外科,浙江杭州310000 [2]辽宁省人民医院血管外科,辽宁沈阳110001

出　　处：《中国实用外科杂志》2023年第12期1382-1387,共6页Chinese Journal of Practical Surgery

基　　金：国家自然科学基金项目(No.81270116);北京市自然科学基金项目(No.7132076);浙江省医学会临床科研基金项目(No.2021ZY-A70)。

摘　　要：慢性静脉疾病(CVD)是一种由于人类直立行走而逐渐形成的特殊类型疾病,具有持续性、渐进性和长期性的特点,严重时会影响病人的生活质量,并给社会造成经济负担。CVD的高危人群包括有遗传因素、妊娠史、年龄增长等的人群,需要进行早期筛查和评估,了解疾病的严重程度和发展趋势。CVD的综合干预策略主要包括药物治疗、压力治疗、手术治疗和综合预防及功能训练,针对不同的病理生理机制和静脉血流动力学进行个性化的选择和时机把控。血管外科作为新兴的外科学科,无血管内科的体系设置,血管外科大量疾病具有慢病特征,建立慢病管理的理念对学科发展具有重要作用。CVD的慢病管理理念需要建立在大数据平台的基础上,利用现代网络技术进行高危人群甄别、早期症状筛查、疾病状态评估、合理治疗方法选择和时机把控等全程管理,提高病人的自我管理能力和生活质量。Chronic venous disease(CVD) is a specific type of condition gradually developed in humans due to upright walking,characterized by persistence,progression,and long-term nature.Severe cases can significantly impact patients' quality of life and impose economic burdens on society.High-risk populations for CVD include individuals with genetic factors,pregnancy history,and aging,necessitating early screening and assessment to understand the severity and trends of the disease.Comprehensive intervention strategies for CVD primarily encompass medication,pressure management,surgical treatment,comprehensive prevention,and functional training.Personalized choices and timing control are essential based on different pathological and physiological mechanisms and venous hemodynamics.Vascular surgery,as an emerging surgical discipline,lacks a vascular medicine system.Many vascular diseases exhibit characteristics of chronic illnesses,making it crucial to establish the concept of chronic disease management for the development of the discipline.The chronic disease management approach for CVD needs to be built on a big data platform,utilizing modern network technology for highrisk population identification,early symptom screening,disease status assessment,rational treatment method selection,and timing control throughout the management process.This approach aims to enhance patients' self-management abilities and quality of life.

关 键 词：下肢静脉疾病 下肢静脉功能不全 慢病管理 

分 类 号：R6[医药卫生—外科学]