静脉血栓栓塞症一体化防治策略的实施与质量控制

doi:10.3761/j.issn.2096-7446.2026.03.003

摘要/Abstract

摘要：

静脉血栓栓塞症（venous thromboembolism，VTE）作为全球重大公共卫生问题，其防治面临质量与安全的多重挑战。该文从护理管理视角，系统分析了VTE的防治现状，指出当前存在三大核心问题：风险评估工具应用不规范、预防措施执行率低及质量监控体系不完善。在实践层面，强调需构建“评估—预警—质控”全流程管理体系，包括规范基础预防措施、优化机械预防应用及制订精准化药物预防方案。管理创新方面，提出通过人工智能技术解决护理人员沉重负担的方案和通过多维度的数据支持提高质量控制的策略。在未来发展方面，将拓展高风险人群，探索中西医结合预防方案，加强基层能力建设。通过多学科协作的护理管理模式，有望实现中国VTE防治质量目标。

关键词: 静脉血栓栓塞, 急症护理, 质量改进, 预防, 人工智能

Abstract:

Venous thromboembolism（VTE） has emerged as a critical global public health concern，with its prevention and management encountering multifaceted challenges in quality and safety. This study systematically examines current VTE prevention practices from a nursing management perspective，identifying three fundamental issues，including inconsistent application of risk assessment tools，suboptimal adherence to preventive measures，and deficiencies in quality monitoring systems. From a practical perspective，it is emphasized that it is necessary to establish an integrated “assessment，early warning and quality control” management framework，encompassing standardized basic precautions，optimized mechanical prophylaxis，and tailored pharmacological interventions. Innovative management strategies include artificial intelligence-assisted（AI-assisted） workload reduction for nursing staff and data-driven quality control enhancement. Consequently，future initiatives should focus on expanding prevention coverage to high-risk populations，investigating integrative traditional Chinese and Western medicine approaches，and strengthening primary healthcare capacity. Implementation of multidisciplinary nursing management models may facilitate attainment of national VTE prevention quality objectives.

Key words: Venous Thromboembolism, Emergency Nursing, Quality Improvement, Prevention, Artificial Intelligence

陈兆斐, 王薇, 翟振国. 静脉血栓栓塞症一体化防治策略的实施与质量控制[J]. 中华急危重症护理杂志, 2026, 7(3): 274-278.

CHEN Zhaofei, WANG Wei, ZHAI Zhenguo. Implementation and quality control of an integrated prevention and management strategy for venous thromboembolism[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(3): 274-278.

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