Abstract: Objective To study the preventive effect of integrated traditional Chinese and Western medicine nursing on postoperative venous thromboembolism (VTE) in elderly patients undergoing femoral head replacement surgery. Methods From May 2021 to November 2023, 88 elderly patients who underwent femoral head replacement surgery at the Taizhou Integrated Traditional Chinese and Western Medicine Hospital were selected as the study subjects. The patients were divided into groups using odd and even numbers. The control group (n=44) received only routine care, while the study group (n=44) received a combined traditional Chinese medicine nursing plan on the basis of the control group, targeting postoperative coagulation function indicators in both groups Compare and observe the occurrence of limb swelling, quality of life, and nursing satisfaction. Results After nursing, compared with the control group, the levels of plasma fibrinogen (FIB), fibrinolytic products (FDP), and D-dimer (D-D) in the study group were all lower than those in the control group, with statistical significance (P<0.05); The incidence of limb swelling in the study group was lower than the control group, and the difference was statistically significant (P<0.05); Comparing the scores of physiological, psychological, and physical functions between the two groups, the study group had higher scores than the control group, and the difference was statistically significant (P<0.05); Comparing the satisfaction levels of the two groups, the study group showed higher scores in VTE assessment, VTE prevention, service attitude, and professional skills compared to the control group, with statistically significant differences (P<0.05). Conclusion For elderly patients undergoing femoral head replacement surgery, integrated traditional Chinese and Western medicine nursing can effectively promote the recovery of coagulation function, reduce the risk of VTE, and improve their postoperative quality of life, which has received high satisfaction from patients and has good clinical application value.

Key words: femoral head replacement surgery, integrated Chinese and Western nursing, venous thromboembolism, prevention, quality of life rating