首页|低分子肝素和达比加群酯在非瓣膜性房颤患者抗凝治疗中的效果与安全性对比

低分子肝素和达比加群酯在非瓣膜性房颤患者抗凝治疗中的效果与安全性对比

扫码查看
目的:对比低分子肝素和达比加群酯在非瓣膜性房颤患者抗凝治疗中的效果与安全性。方法:选取 2022 年1-12 月重庆市酉阳县人民医院收治的 60 例非瓣膜性房颤患者,入组后,采用单双号法对其进行分组,30 例分到单号者纳入对照组,30 例分到双号者纳入观察组,观察组患者予以低分子肝素行抗凝治疗,对照组患者予以达比加群酯行抗凝治疗。对比两组患者治疗前后的凝血酶时间(thrombin time,TT)、活化部分凝血活酶时间(activated partial thromboplastin time,APTT)、D-二聚体(D-dimer,D-D)、药物相关不良反应发生率、治疗期间的不良事件发生率及治疗总有效率。结果:治疗前,两组TT、APTT、D-D水平对比,差异无统计学意义(P>0。05),治疗后,观察组TT、APTT长于对照组,D-D水平低于对照组,药物相关不良反应发生率低于对照组,治疗期间的不良事件发生率低于对照组,治疗总有效率高于对照组,差异有统计学意义(P<0。05)。结论:非瓣膜性房颤患者应用低分子肝素进行抗凝治疗的效果和安全性均高于达比加群酯。
Comparison of the Efficacy and Safety of Low-molecular-weight Heparin and Dabigatran Ester in Anticoagulant Treatment of Non Valvular Atrial Fibrillation Patients
Objective:To compare the efficacy and safety of Low-molecular-weight Heparin and Dabigatran Ester in anticoagulant treatment of non valvular atrial fibrillation patients.Method:A total of 60 patients with non valvular atrial fibrillation patients treated in Chongqing Youyang County People's Hospital from January to December 2022 were selected.After admission,they were divided into groups by odd-even number method.30 patients with odd number were included in the control group and 30 patients with even number were included in the observation group.Observation group was given anticoagulation therapy with Low-molecular-weight Heparin,control group was given anticoagulation therapy with Dabigatran Ester.Thrombin time(TT),activated partial thromboplastin time(APTT),D-dimer(D-D),incidence of drug-related adverse reactions,incidence of adverse events during treatment,and overall treatment response rate were compared between the two groups.Result:Before treatment,there were no statistically significant difference in TT,APTT and D-D levels between the two groups(P>0.05).After treatment,TT and APTT in the observation group were longer than those in the control group,D-D level was lower than that in the control group,the incidence of drug-related adverse reactions was lower than that in the control group,the incidence of adverse events during treatment was lower than that in the control group,and the total effective rate was higher,the differences were statistically significant(P<0.05).Conclusion:The efficacy and safety of anticoagulation therapy with Low-molecular-weight Heparin in non valvular atrial fibrillation patients are higher than those with Dabigatran Ester.

Low-molecular-weight HeparinDabigatran EsterNon valvular atrial fibrillationAnticoagulantSecurity

冷明

展开 >

重庆市酉阳县人民医院 重庆 409800

低分子肝素 达比加群酯 非瓣膜性房颤 抗凝 安全性

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(16)