摘要
目的分析创伤骨科肺栓塞的早期诊断、治疗方法及效果。方法选取2014年10月至2016年10月大同煤矿集团有限责任公司三医院收治的创伤骨科肺栓塞患者100例为研究对象，结合患者的基本资料、临床表现，实施早期诊断及治疗。采用慢性呼吸问卷（CRQ）及生存质量评定表（QOL）分别对患者治疗前后的呼吸状态及生存质量进行比较。同时，按照患者治疗方法的不同将其进行分组，比较单纯抗凝（n＝38）或加用静脉溶栓（n＝62）治疗的效果。结果治疗前，患者CRQ总评分、QOL总评分分别为（5.9±1.3）分、（65.78±23.91）分，治疗后分别为（3.1±0.7）分、（30.92±13.45）分，差异均有统计学意义（t＝11.931、20.104，均P〈0.05）。100例患者经单纯抗凝或者抗凝联合溶栓治疗后，显效54例，有效33例，无效9例，死亡4例，总有效率为87.00%。其中，接受单纯抗凝治疗患者的总有效率为81.58%，接受抗凝联合溶栓治疗患者的总有效率为90.32%，接受抗凝联合溶栓治疗患者的总有效率高于接受单纯抗凝治疗患者，但差异无统计学意义（χ2＝1.593，P〉0.05）。结论在创伤性骨科的围手术期，对肺栓塞应及时诊断，并施以合理治疗可以促进患者呼吸功能及生活质量的改善，抗凝联合溶栓治疗可提高有效率。
ObjectiveTo analyze the early diagnosis, treatment methods and effect of pulmonary embolism in Department of Traumatic Orthopedics.MethodsFrom October 2014 to October 2016, 100 patients with pulmonary embolism in trauma department of orthopedics of Datong Coal Group Co three hospital were selected as the research subjects.Combined with the basic data of patients and clinical manifestations, the early diagnosis and clinical features were summarized.The chronic respiratory questionnaire（CRQ） and quality of life assessment table（QOL） were used to evaluate the respiratory status and living quality of the patients before and after treatment.At the same time, according to the different treatment methods, the effect of simple anticoagulant or combined with thrombolytic was compared.ResultsBefore treatment, the CRQ total score, QOL total score were （5.9±1.3）points, （65.78±23.91）points, respectively, which after treatment were （3.1±0.7） points, （30.92±13.45） points, respectively, the differences were statistically significant（t=11.931, 20.104, all P〈0.05）. In 100 patients, after treated by anticoagulation alone or combined with anticoagulation and thrombolytic therapy, there were significantly effective in 54 cases, effective in 33 cases, invalid in 9 cases, and 4 cases died, the total effective rate was 87.00%.The total effective rate of anticoagulant therapy was 81.58%, which of anticoagulation combined with thrombolytic therapy was 90.32%, the difference was not statistically significant（χ2=1.593, P〉0.05）.ConclusionIn the perioperative period of Department of Traumatic Orthopedics, pulmonary embolism should be timely diagnosed, and reasonable treatment can improve the respiratory function and life quality of patients, anticoagulation combined with thrombolytic therapy can improve the efficacy.
作者
邢平
张建英
王志强
Xing Ping;Zhang Jianying;Wang Zhiqiang(Department of Anesthesiology, the Third Hospital of Datong Coal Group Co, Datong, Shanxi 037017, China;Department of Orthopaedics, the Third Hospital of Datong Coal Group Co, Datong, Shanxi 037017, China)
出处
《中国基层医药》
CAS
2018年第12期1521-1524,共4页
Chinese Journal of Primary Medicine and Pharmacy
关键词
创伤和损伤
医院
骨科
肺栓塞
诊断
抗凝药
血栓溶解疗法
呼吸功能试验
生活质量
Wounds and injuries
Hospitals
osteopathic
Pulmonary embolism
Diagnosis
Anticoagulants
Thrombolytic therapy
Respiratory function tests
Quality of life
