介入联合血府逐瘀汤治疗急性肺动脉栓塞30例

Intervention Jointed with XueFu ZhuYu Tang in Treating 30 Cases of Acute Pulmonary Embolism

目的:观察介入联合血瘀逐瘀汤治疗肺动脉栓塞(pulmonary embolism,PE)的临床疗效。方法:将60例患者随机分为治疗组和对照组,每组30例。2组均给予介入及溶栓、抗凝治疗,治疗组同时给予血府逐瘀汤治疗,1剂/d。2组均以连续治疗7天为1个疗程,治疗过程中密切监测部分凝血活酶时间(APTT)。结果:经治疗2组胸闷、气短等临床症状均明显缓解,各项观察指标较治疗前明显改善,显效率均达到100.00%。m PAP、Sa O2和Pa O2等指标2组治疗后均明显改善(P<0.05),其中Sa O2治疗后治疗组较对照组改善更明显(P<0.05)。结论:介入联合血瘀逐瘀汤治疗PE临床疗效显著。

Objective： To explore clinical effects of intervention jointed with XueFu ZhuYu Tang in treating pulmonary embolism（PE）. Methods： Sixty paients were randomized into two groups, both groups received intervention, thrombolysis and anticoagulant therapy, and the treatment group took XueFu ZhuYu Tang, one dose per day.Seven days were one course of the treatment for both groups, activated partial thromboplastin time（APTT） was closely monitored during therapeutic courses. Results： After treating, clinical symptoms such as choking sensation in chest, panting and others relieved apparently, different observation indexes improved obviously compared with before treating, markedly effective rate reached 100.00%. mPAP, SaO2, PaO2 and others improved after treating notably in both groups（P〈0.05）, the treatment group was more obvious compared with these of the control group in the improvements of SaO2（P〈0.05）. Conclusion： Intervention jointed with XueFu ZhuYu Tang could obtain notable effects in treating PE.