中西医结合治疗肺栓塞临床研究
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R563.5

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Clinical Study of Integrated Chinese and Western Medicine for Pulmonary Embolism
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    摘要:

    目的:观察中西医结合治疗肺栓塞的临床疗效。方法:选取80例肺栓塞患者为研究对象,根据随机对照原则分为中西医组和西医组各40例。中西医组给予中药汤剂联合西药治疗,西医组则单纯使用西药治疗,治疗后比较2组治疗效果。结果:中西医组治疗总有效率92.50%,西医组治疗总有效率70.00%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组血氧分压(PO2)、血二氧化碳分压(PCO2)均较治疗前改善(P<0.05);中西医组2项指标的改善情况均优于西医组(P<0.05)。中西医组凝血酶原时间(PT)达到凝血国际标准化比值(INR)目标值所用抗凝剂剂量少于西医组,达标时间短于西医组,差异均有统计学意义(P<0.05)。结论:中西医结合治疗肺栓塞,能够有效改善患者的临床症状,减少抗凝剂用量,比单纯使用西药治疗效果更好。

    Abstract:

    Objective:To observe theclinical effect of integrated Chinese and western medicine for pulmonary embolism.Methods:Selected 80 cases of patients with pulmonary embolism as study subjects,and divided them into the Chinese and western medicine group and the western medicine group according to the principle of randomized control,40 cases in each group.The Chinese and western medicine group was given Chinese medicine decoction combined with western medicine for treatment,while the western medicine group was simply given western medicine for treatment.Compared the therapeutic effect between the two groups after treatment.Results:The total effective rate was 92.50%in the Chinese and western medicine group and was 70.00%in the western medicine group,the difference being significant(P<0.05).After treatment,the partial pressure of oxygen(PO2)and the partial pressure of carbon dioxide(PCO2)in the two groups were improved when compared with those before treatment(P<0.05).The improvement of the two indexes in the Chinese and western medicine group was better than that in the western medicine group(P<0.05).The amount of anticoagulant used to achieve target value of the international normalized ratio(INR)during the prothrombin time(PT)in the Chinese and western medicine group was less than that in the western medicine group,and the standard time in the Chinese and western medicine group was shorter than that in the western medicine group,differences being significant(P<0.05).Conclusion:The therapy of integrated Chinese and western medicine for pulmonary embolism can effectively improve the clinical symptoms of patients and reduce the dosage of anticoagulant,which is superior to the treatment of simple western medicine.

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陈英,王智卿.中西医结合治疗肺栓塞临床研究[J].新中医,2018,50(5):73-75

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  • 在线发布日期: 2018-05-03
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