关键词: anticoagulants deep vein thrombosis interventional therapy lower extremity nursing care

来  源:   DOI:10.3389/fmed.2024.1420012   PDF(Pubmed)

Abstract:
This review examines recent advancements in interventional treatments and nursing care for lower extremity deep vein thrombosis (DVT), highlighting significant innovations and their clinical applications. It discusses the transition to novel anticoagulants such as Direct Oral Anticoagulants, which offer a safer profile and simplified management compared to traditional therapies. Mechanical interventions, including balloon angioplasty and venous stenting, are detailed for their roles in improving immediate and long-term vascular function in acute DVT cases. Furthermore, the use of image-guided techniques is presented as essential for enhancing the accuracy and safety of DVT interventions. Additionally, this study outlines advances in nursing care strategies, emphasizing comprehensive preoperative and postoperative evaluations to optimize patient outcomes. These evaluations facilitate tailored treatment plans, crucial for managing the complex needs of DVT patients. Long-term care strategies are also discussed, with a focus on patient education to ensure adherence to treatment protocols and to prevent recurrence. The synthesis aims to inform healthcare professionals about cutting-edge practices in DVT management, promoting a deeper understanding of how these advancements can be integrated into clinical practice. It also underscores the necessity for ongoing research to address challenges such as cost-effectiveness and patient compliance, ensuring that future treatments are both accessible and effective.
摘要:
本文综述了下肢深静脉血栓形成(DVT)的介入治疗和护理的最新进展。强调重大创新及其临床应用。它讨论了向新型抗凝剂的过渡,如直接口服抗凝剂,与传统疗法相比,它提供了更安全的配置文件和简化的管理。机械干预,包括球囊血管成形术和静脉支架置入术,详细介绍了它们在改善急性DVT病例的即时和长期血管功能中的作用。此外,图像引导技术的使用对于提高DVT干预的准确性和安全性至关重要.此外,这项研究概述了护理策略的进展,强调全面的术前和术后评估,以优化患者预后。这些评估有助于制定量身定制的治疗计划,对于管理DVT患者的复杂需求至关重要。还讨论了长期护理策略,以患者教育为重点,以确保遵守治疗方案并防止复发。该综合旨在向医疗保健专业人员通报DVT管理的前沿实践,促进更深入地了解如何将这些进步融入临床实践。它还强调了正在进行的研究以应对诸如成本效益和患者依从性等挑战的必要性。确保未来的治疗是可获得的和有效的。
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