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

摘要

Objective: To observe the clinical efifcacy and safety of rivaroxaban and warfarin in patients with atrial ifbrillation (AF) combining left atrial (LA) thrombosis. Methods: A total of 40 patients with conifrmed 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%, P>0.05; for thromboembolism were 5.0% and 5.0%,P>0.05; for bleeding events were 5.0% and 10.0%,P>0.05. 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.%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。