CAJ | 학술논문

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%。mPAP、SaO2和PaO2等指标2组治疗后均明显改善（P＜0.05），其中SaO2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。
목적：관찰개입연합혈어축어탕치료폐동맥전새(pulmonary embolism，PE)적림상료효。방법：장60례환자수궤분위치료조화대조조，매조30례。2조균급여개입급용전、항응치료，치료조동시급여혈부축어탕치료，1제/d。2조균이련속치료7천위1개료정，치료과정중밀절감측부분응혈활매시간(APTT)。결과：경치료2조흉민、기단등림상증상균명현완해，각항관찰지표교치료전명현개선，현효솔균체도100.00%。mPAP、SaO2화PaO2등지표2조치료후균명현개선（P＜0.05），기중SaO2치료후치료조교대조조개선경명현（P＜0.05）。결론：개입연합혈어축어탕치료PE림상료효현저。
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 interven-tion, 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 be-fore 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 im-provements of SaO2 (P<0.05). Conclusion:Intervention jointed with XueFu ZhuYu Tang could obtain notable ef-fects in treating PE.