营养素与静脉血栓栓塞症的关联研究进展
Research Progress on the Association between Nutrients and Venous Thromboembolism
DOI: 10.12677/acm.2026.1641753, PDF,    科研立项经费支持
作者: 向俊霖, 陈 虹*:重庆医科大学附属第一医院呼吸与危重症医学科,重庆
关键词: 静脉血栓栓塞症宏量营养素微量营养素血栓预防Venous Thromboembolism Macronutrients Micronutrients Thromboprophylaxis
摘要: 静脉血栓栓塞症(venous thromboembolism, VTE)是临床上的常见并发症,不仅严重威胁患者的生命健康、增加致残和死亡风险,还会带来沉重的医疗经济负担。目前主要依靠抗凝药物预防VTE,但存在出血风险、适用人群有限、患者长期用药依从性差等问题,急需安全有效的非药物防控手段。营养素可以调节人体的凝血–纤溶平衡、炎症反应和血管内皮功能,宏量营养素与微量营养素都会参与VTE的发生发展过程。但目前各类研究对二者和VTE的具体关联、作用机制还没有形成统一结论,研究结果差异较大,也缺乏对这两类营养素与VTE关系的系统整理。本研究系统梳理了宏量、微量营养素和VTE发生发展的关联,分析其调控VTE的核心分子机制,对现有研究的共识与争议进行总结,可为后续构建新的VTE风险评估体系提供参考。
Abstract: Venous thromboembolism (VTE) is a common clinical complication. It not only poses a severe threat to patients’ life and health and elevates the risk of disability and mortality, but also imposes a substantial medical and economic burden. At present, anticoagulant drugs serve as the primary approach for VTE prevention. However, their application is limited by issues such as bleeding risk, restricted eligible populations, and poor long-term medication adherence in patients, highlighting an urgent demand for safe and effective non-pharmacological prevention and control strategies. Nutrients can modulate the human body’s coagulation-fibrinolysis balance, inflammatory response, and vascular endothelial function. Both macronutrients and micronutrients are involved in the initiation and progression of VTE. Nevertheless, current studies have not reached consistent conclusions regarding the specific association and underlying mechanisms between these nutrients and VTE, with highly divergent results. In addition, there remains a lack of systematic collation on the relationship between these two categories of nutrients and VTE. This study systematically reviews the association between macronutrients, micronutrients and the development of VTE, analyzes the core molecular mechanisms by which these nutrients regulate VTE, and summarizes the consensus and controversies in existing research. The results can provide a reference for the subsequent construction of a new VTE risk assessment system.
文章引用:向俊霖, 陈虹. 营养素与静脉血栓栓塞症的关联研究进展[J]. 临床医学进展, 2026, 16(4): 4805-4815. https://doi.org/10.12677/acm.2026.1641753

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