急性肺栓塞溶栓及抗凝治疗临床观察

Clinical Observation of Thrombolysis and Anticoagulation in Patients With Acute Pulmonary Embolism

目的探析急性肺栓塞中溶栓与抗凝的治疗效果。方法选取本院2014年11月-2015年11月所收治的42例急性肺栓塞患者为本次研究对象,以随机法将其分为对照组及观察组,其中对照组21例,单以抗凝治疗,观察组21例,采用溶栓＋抗凝的方式进行联合治疗。对两组患者治疗效果进行对比。结果在治疗有效率上,观察组优于对照组（95.24%〉80.95%）,差异有统计学意义（P〈0.05）;在临床症状改善上,观察组亦同样优于对照组（100.00%〉76.19%）,差异有统计学意义（P〈0.05）。结论在急性肺栓塞的临床治疗中,采用溶栓＋抗凝的方式进行联合治疗可获得更为理想的临床效果。

Objective To explore the therapeutic effect of thrombolysis and anticoagulation in acute pulmonary embolism. Methods 42 cases of patients with acute pulmonary embolism treated in our hospital from November 2014 to November 2015 were selected as the study subjects. The patients were randomly divided into two groups, the control group and the observation group, in the control group, 21 cases were treated with anticoagulant therapy, 21 cases in the observation group were treated with thrombolysis and anticoagulation. The treatment effect was compared between the two groups. Results In the treatment effective rate, the observation group was better than the control group（95.24%80.95%）, the difference was statistically significant（P0.05）. In the improvement of clinical symptoms, the observation group was also better than the control group（100.00%76.19%）, the difference was statistically significant（P0.05）. Conclusion In the clinical treatment of acute pulmonary embolism, combined treatment with thrombolytic and anticoagulant therapy can get a better clinical effect.