体医融合下预防和改善下肢静脉曲张的研究

Study on Prevention and Improvement of Varicose Veins of Lower Extremities under the Fusion of Body and Medicine

摘要: 体医融合是将全民健身融入健康中国的重要途径。医学角度能探其病之本源，再从其本源出发，利用运动疗法和日常行为的自我管理去预防、改善下肢静脉相关慢性疾病。本文运用文献资料、逻辑推理等研究方法，1、分析下肢静脉曲张的发病机制：体循环平均充盈压降低、静脉瓣膜受损、骨骼肌的挤压作用减弱、久站久坐姿势的保持和温度改变。2、概括下肢静脉曲张的临床疗法：(1) 传统手术法，高位结扎抽剥术；(2) 微创手术，静脉腔内热消融闭合术、静脉腔内常温闭合术；(3) 物理治疗，弹力医疗袜的使用、空气压力波治疗和踝泵运动及其优缺点。3、根据其发病机制，从体医融合的角度提出下肢静脉曲张C0级和C1级预防和改善的运动疗法。利用运动疗法和日常行为的自我管理，预防、改善腿部静脉曲张的初期症状，以肌肉运动带动静脉回流，主动地提高肌肉和下肢静脉“泵”的能力，由表及里、表里相结合促进下肢静脉的回流。

Abstract: The integration of sports and medicine is an important way to integrate national fitness into healthy China. From the medical point of view, we can explore the origin of the disease, and then proceed from its origin, using exercise therapy and self-management of daily behavior to prevent and improve the vein-related chronic diseases of the lower extremities. In this paper, by using the methods of literature and logical reasoning, 1. to analyze the pathogenesis of varicose veins of lower extremities: decrease of average filling pressure of systemic circulation, damage of venous valve, weakening of skeletal muscle compression, maintenance of sedentary posture and temperature change. 2. Summarize the clinical treatment of varicose veins of lower extremities: (1) traditional operation, high ligation and exfoliation, (2) minimally invasive surgery, endovenous thermal ablation closure, intravenous normothermic closure, (3) physiotherapy, the use of elastic medical socks, air pressure wave treatment and ankle pump exercise and their advantages and disadvantages. 3. According to its pathogenesis, exercise therapy for prevention and improvement of varicose veins of lower extremities at grade C0 and C1 was put forward from the point of view of body-medicine fusion. Exercise therapy and self-management of daily behavior are used to prevent and improve the initial symptoms of varicose veins in the legs, drive venous reflux by muscle movement, and actively improve the “pump” ability of muscles and veins of the lower limbs. The combination of exterior and interior can promote the reflux of veins of lower extremities.