刘金文防治人工关节置换术后下肢深静脉栓塞经验介绍  

Introduction of LIU Jinwen's Experience in Preventing and Treating Deep Vein Thrombosis of Lower Extremities After Artificial Joint Replacement

作　　者：叶帅敦 张葆青 YE Shuaidun;ZHANG Baoqing(The Second School of Clinical Medicine,Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510107,China;Guangdong Provincial Hospital of Chinese Medicine,Guangzhou Guangdong 510120,China;National Famous Traditional Chinese Medicine Expert Inheritance Studio of LIU Jinwen,Guangzhou Guangdong 510120,China)

机构地区：[1]广州中医药大学第二临床医学院,广东广州510107 [2]广东省中医院,广东广州510120 [3]刘金文全国名老中医药专家传承工作室,广东广州510120

出　　处：《新中医》2025年第6期206-210,共5页New Chinese Medicine

摘　　要：总结介绍刘金文教授防治人工关节置换术后下肢深静脉栓塞的临床经验。刘金文教授认为,人工关节置换术后下肢深静脉栓塞病机为气血失和,发为血瘀血癥。临证着眼于辨虚实、调气血,强调扶正祛瘀,调整气血津液,通行血脉,则肿痛自消。辨虚实以益气活血,使气旺血行,瘀去络通,祛瘀而不伤正。同时,根据患者体质的不同,注重术前术中防治与术后治疗,遵循先辨证而后论治。This paper summarizes and introduces Professor LIU Jinwen's clinical experience in preventing and treating deep vein thrombosis(DVT)of the lower extremities after artificial joint replacement.Professor LIU believes that the pathogenesis of DVT after artificial joint replacement is due to disharmony between qi and blood,leading to blood stasis and blood mass.In clinical practice,he focuses on differentiating deficiency and excess,regulating qi and blood,and emphasizes strengthening the healthy qi and removing blood stasis,adjusting qi,blood,and body fluids,and promoting blood circulation,which can help resolving swelling pain.Differentiating deficiency and excess is to nourish qi and activate blood,thereby promoting vigorous qi and smoothing blood flow,removing blood stasis and unblocking the collaterals,all without damaging the body's healthy qi.At the same time,based on individual constitutions,emphasis is placed on prevention and treatment before and during surgery,as well as postoperative treatment,following the principle of syndrome differentiation prior to treatment.

关 键 词：下肢深静脉栓塞 人工关节置换术 刘金文 

分 类 号：R543.6[医药卫生—心血管疾病] R249[医药卫生—内科学]