The Multidisciplinary Team Model Of Traditional Chinese Medicine Effect On Deep Vein Thrombosis In Patients With Hip Fracture

Background Deep vein thrombosis (Deep venous thrombosis,DVT)due to blood clott-ing disorder caused by abnormal which always occurred in the lower extremities. It cancause pulmonary embolism (Pulmonary embolism,PTE).They are known as venous th-rombus embolism (Venous Thrombus Embolism, VTE)[1].It has mortality rate afterhip replacement and hip fracture surgery.To prevent and control deep vein thrombosisofpostoperative is important practical significance.Medical applications of multidiscipli-nary model of hip fracture patients for early intervention will probably be one of theideas.Objective The research object were taken under the guidance of TCM theory.Toobserve the relevant indicators of DVT after hip fracture,hospitalization time,deep veinthrombosis (DVT) in the incidence with an innovative multidisciplinary team model ofTCM.To analysis of DVT that it impact on an innovative multidisciplinary team modelelderly hip fracture surgery.And to seek methods in order to decrease the incidence andmortality of deep vein thrombosis (DVT) after hip fractures in elderly post operatives.Methods A retrospective review of patients admitted to a tertiary care academictrauma center (He-Nan Province Hospital of TCM) who received surgical repair offemoral unstable inter-trochanteric fractures.It was performed for the time periods ofJan to December2012and Jan to December2013.Patients should be enrolled into atest group and a model group,40cases in each group. The test group has12males and28females;Their ages range from60to93years. The average age of the patientsis75.03±9.38years. the test group has16cases of inter-trochanteric fractures, and24cases are femoral neck fracture.The model group has18males and22females; theirages range from60to85years.The average age of the patients here is73.83±7.08years.the test group has13cases of inter-trochanteric fractures, and27cases arefemoral neck fracture.Test group of patients admitted to hospital by orthopedic surgeons, physicians, nursing composed the medical team on the physical condition ofthe patient to assess the development of treatment plans,using comfort care for patientsoperative interven-tion,dialectical theory of governance decoction orally administered early prevention,while according to the guidelines, after routine use of low molecular weight heparininjection.After12hours in patients with abdominal subcutaneous low molecular wei-ght heparin injection (based on patient weight select dose by injection. Postoperativeinjection were taken once a day, for14days.The test team adjusting to treatment,careprograms and prescription medicine of patients after surgery. Analysis were performedtwo groups of patients before surgery, the first four days after the first14days of HGB,PLT,PT,APTT,TT,DD and color Doppler examination of bilateral lower extremityvenous changes.And using a modified Wells (2003) DVT score of patients with deepvein formation evaluation.Even used venography to diagnosis. Independent samples ttest (for continuous variables) and chi-square analysis (for binomial variables) wereused to compare age,the mortality rate and hospitalization time.A P value of0.05wasconsidered statistically significant for all statistical analyses used.All statisticalanalyses were performed using SPSS18.0.Results①Test group after the first four days,after the first14days in improvingHGB, PT, TT, DD better than the control group (P<0.01),but cannot be consideredexperimental group than the control group in improving the PLT (P>0.05).②The rateof venous refluence comparison: patients preoperative1case occurred venous reflux;Control group preoperative3cases of venous reflux,two groups of patients withpostoperative incidence of preoperative venous reflux there was no significantdifference (P>0.05),but it can be thought of as two groups of data with homogeneityand comparability.Patients postoperative days44cases of venous reflux; The modelgroup after4days of13cases of venous reflux, two groups of patients withpostoperative days4there are differences between the incidence of venous reflux wasstatistically significant (P<0.05), improve the postoperative venous reflux can bethought of as test group is superior to the control group. Patients after14days of2cases of venous reflux; Control group after14days9cases of venous reflux,preoperative venous reflux incidence similar between the two groups was statisticallysignificant (P<0.05),can be thought of experimental group is better than the modelgroup.③The incidence of postoperative test group of lower extremityDVT10%(4/40),and postoperative DVT occurred in the control group was32.5%(13/40). Postoperative incidence of DVT difference was statistically significant (P<0.05),can be consideredexperimental group than the control group in the prevention of DVT.④The test groupwithout pulmonary embolism deaths occurred in the control group had a case of deathcaused by pulmonary embolism; experimental group, the average length of stay was19.29±2.36days, the control group was21.22±4.82days. Analysis were performedthe data of two groups of patients, with statistical significance (P<0.05), and can beconsidered multidisciplinary collaborative approach can reduce the incidence of deepvein thrombosis, mortality, and can reduce hospitalization time.Conclusion①The multidisciplinary model of TCM for patients with hip fracturesdecreases the incidence of incidence of deep vein thrombosis.②It can effectivelyimprove postoperative anemia in patients with postoperative improvement in bloodviscosity case.③It can effectively reduce hospital stays and and medical costs.