利伐沙班与华法林对心房颤动伴左心房血栓形成患者的疗效观察  

Clinical Efficacy of Rivaroxaban and Warfarin in Patients With Atrial Fibrillation Combining Left Atrial Thrombosis

作　　者：吕程[1] 何燕[1] 许键[1] 罗蓓蓓[1] 钟国强[1] 黄伟强[1] 文伟明[1] 韦哲[1] 吴龙飞[1] 张正楠[1] 

机构地区：[1]广西医科大学第一附属医院老年病学心血管内科,广西壮族自治区南宁市530021

出　　处：《中国循环杂志》2016年第11期1098-1101,共4页Chinese Circulation Journal

基　　金：广西医疗卫生适宜技术研究与开发课题(5201303-06);第一批广西医学高层次骨干人才培养"139"计划

摘　　要：目的:观察利伐沙班与华法林对心房颤动(房颤)伴左心房血栓形成患者的溶栓疗效及安全性。方法:选取在我院就诊并确诊为有血栓形成的非瓣膜性房颤患者40例,按患者入院时间随机分为利伐沙班组20例和华法林组20例,利伐沙班组患者应用利伐沙班进行治疗,华法林组患者应用华法林进行治疗,观察期为6个月。比较两组患者左心房血栓溶解率、血栓栓塞率及出血发生率。结果:利伐沙班组附壁血栓溶解率85.0%,华法林组附壁血栓溶解率70.0%,两组比较差异无统计学意义(P>0.05);利伐沙班组血栓栓塞率5%,华法林组血栓栓塞率5%,两组比较差异无统计学意义(P>0.05)。利伐沙班组出血率5.0%,华法林组出血率10.0%,两组比较差异亦无统计学意义(P>0.05)。结论:利伐沙班在非瓣膜性房颤伴左心房血栓形成患者中溶解左心房血栓的疗效方面与华法林一致,血栓栓塞和出血风险两者比较没有显著的差异。Objective： To observe the clinical efficacy and safety of rivaroxaban and warfarin in patients with atrial fibrillation（AF） combining left atrial（LA） thrombosis.Methods： A total of 40 patients with confirmed diagnosis of non-valvular AF in our hospital were studied. According to drug therapy at admission, the patients were divided into 2 groups： Rivaroxaban group and Warfarin group, n=20 in each group. All patients were observed for 6 months and the incidences of LF thrombus resolution, thromboembolism, bleeding events were compared between 2 groups. Results： In Rivaroxaban group and Warfarin group, the rates for LA thrombus resolution were 85.0% and 70.0%, P0.05; for thromboembolism were 5.0% and 5.0%, P0.05; for bleeding events were 5.0% and 10.0%, P0.05.Conclusion： Rivaroxaban had the same effect with warfarin on thrombus resolution in patients with non-valvular AF combining LA thrombosis; the medication incurred risks of thromboembolism and bleeding events were similar between 2 drugs.

关 键 词：心房颤动 血栓形成 利伐沙班 

分 类 号：R541.4[医药卫生—心血管疾病]