Integrated traditional Chinese and western medicine intervention reduces postoperative deep venous thrombosis (DVT) in hip surgery by
中西医技术联用干预降低患者髋关节手术后深静脉血栓发生率

摘要

目的 探讨中西医技术联合护理干预在降低髋关节手术后深静脉血栓（deep venous thrombosis,深静脉血栓）发生率的临床效果。方法 收集2025年1月—6月于我院接受髋关节手术的患者60例，遵循双盲原则均分为对照组和干预组，每组30例。深静脉血栓实施常规护理和功能锻炼联合空气压力波治疗，干预组在对照组的基础上增加穴位贴敷、中药外敷及熏洗。比较两组患者术后14天内深静脉血栓发生率、髋关节活动度及SF-36生活质量评分，并进行统计学分析。结果 干预组深静脉血栓发生率明显低于对照组（P<0.05）；治疗后干预组髋关节活动度评分及SF-36生活质量评分均高于对照组，差异具有统计学意义（P<0.05）。结论 中西医技术联合护理能够有效减少髋关节术后深静脉血栓风险，改善关节活动度并提升患者生活质量，体现了综合护理模式在骨科围手术期中的价值，具有较高的推广价值。

Abstract

Objective To evaluate the clinical efficacy of combined TCM-Western medicine nursing intervention in reducing postoperative DVT incidence following hip surgery.
Methods A total of 60 patients undergoing hip surgery at our hospital between January and June 2025 were enrolled. Following a double-blind design, participants were randomly divided into control and intervention groups of 30 cases each. The control group received standard care with air pressure wave therapy for DVT prevention, while the intervention group received additional acupoint patching, herbal external application, and fumigation washing. Clinical outcomes were compared through analysis of DVT incidence within 14 days post-surgery, hip joint mobility scores, and SF-36 quality of life (SF-36) evaluations.
Results The intervention group demonstrated significantly lower DVT incidence (P<0.05) compared to the control group. Both hip joint mobility scores and SF-36 scores showed statistically significant improvements in the intervention group (P<0.05).
Conclusion   The combined TCM-Western medicine nursing approach effectively reduces postoperative DVT risks, enhances joint mobility, and improves patients' quality of life. This demonstrates the value of comprehensive nursing models in perioperative orthopedic care and has high clinical applicability.