| 摘要: |
| ［摘要］ 目的 探讨溶栓抗凝治疗急性肺栓塞相关护理措施，并观察其效果．方法 将2013年1月至2014年7月四川大学华西医院收治的急性肺栓塞患者48例作为研究对象，并均经溶栓抗凝治疗，随机分为2组，每组24例，对照组采取常规护理，观察组于溶栓前给予心理护理、吸氧及饮食护理等，溶栓治疗中实施穿刺部位护理、用药护理等，溶栓后实施并发症预防护理等护理措施，比较2组疗效．结果 观察组总有效率20例（83.3%），显著高于对照组13例（54.2%），P＜0.05．观察组睡眠、精神、饮食、心理状况评分分别为（4.58±0.28）分、（4.35±0.43）分、（4.41±0.22）分、（4.47±0.22）分，均明显高于对照组，P＜0.05．观察组焦虑程度低于对照组，P＜0.05．结论 溶栓抗凝治疗急性肺栓塞过程中需注意护理措施，规范实施心理护理、用药护理等对缓解病情具有重要意义，具有重要临床价值． |
| 关键词: ［关键词］ 溶栓抗凝治疗 急性肺栓塞 护理 |
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| 基金项目:［基金项目］海南省卫生厅医学科研基金资助项目（琼卫2013资助-O03号） |
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| The Clinical Nursing of 24 Patients with Acute Pulmonary Embolism Trdated with Thrombolytic and Anticoagulant Therapy |
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WANG Li－li1,2
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1.（1）Dept. of Respiratory Medicine，West China Hospital，Sichuan University，Chengdu Sichuan 610041;2）Dept. of Respiratory Medicine ,The People's Hospital of Haikou City，Haikou Hainan 570208，China）
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| Abstract: |
| ［Abstract］Objective To investigate the related nursing measures of thrombolytic and anticoagulant therapy in acute pulmonary embolism，and to observe its effect. Methods Forty-eight patients with acute pulmonary embolism treated in the hospital in 2013 January -2014 year in July were enrolled in the study,and all patients were treated by thrombolytic and anticoagulant therapy，they were randomly divided into two groups with 24 cases in each group，the control group received routine nursing care，the observation group adopted psychological nursing before thrombolysis，oxygen and diet nursing care，medication nursing and the implementation of the puncture site nursing of thrombolytic therapy，the implementation of prevention of complications and nursing after thrombolysis，to compare curative effect.between two groups．Results The total effective rate of observation group was 20 cases（83.3%）and was significantly higher than the control group of 13 cases（54.2%），P＜0.05. The spirit，diet，sleep and mental status scores were （4.58 + 0.28），（4.35 + 0.43），（4.41 + 0.22），（4.47 + 0.22）in the observation group and were higher than in the control group，P＜0.05. The observation group ' anxiety level was significantly better than the control group，P＜0.05. Conclusion During thrombolytic and anticoagulant therapy for acute pulmonary embolism treatment，We should pay aftention to the nursing measures，standardize the implementation of psychological nursing and medication nursing has an important significance to alleviate the condition，so it has the important clinical value. |
| Key words: ［Key words］Thrombolytic of anticoagulant therapy Acute pulmonary embolism Nursing |