The Clinical Nursing of 24 Patients with Acute Pulmonary Embolism Trdated with Thrombolytic and Anticoagulant Therapy

［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.