摘要
目的调查研究支气管动脉栓塞治疗肺结核并大咯血的临床效果。方法采用随机数字表法将100例肺结核大咯血患者分为观察组和对照组各50例,观察组患者给予2HRZE/4HR抗结核及辅助支气管动脉栓塞术治疗,对照组患者给予2HRZE/4HR抗结核及辅助内科药物保守治疗。结果观察组临床总有效率为90%,与对照组(74%)比较,差异有统计学意义(P<0.05),治疗后观察组患者咯血量显著少于对照组(P<0.01)。结论支气管动脉栓塞治疗肺结核并大咯血效果较好,安全性高,值得推广运用。
Objective To investigate the clinical effects of bronchial arterial embolization （BAE） in the treatment of pulmonary tuberculosis （TB） combining with massive hemoptysis. Methods 100 cases of TB patients presenting with massive hemoptysis were divided into observation group and control group by random number table. In the observation group, patients were treated by 2HRZE/4HR for antituberculous and BAE as adjuvant therapy, while in the control group, patients were given 2HRZE/4HR for antituberculous, internal medication as assistant and conservative treatment were provided. Results The total effective rate in the observation group was 90%, compared with control group （74%）, the difference was significant（P〈0.05）. After treatment, the volume of hemoptysis in the observation group was remark- ably less than that in control group （P〈0.01）. Conclusion The effect of BAE in treatment of TB combining with massive hemoptysis is significant, and the safety is high, worthy of further expansion in clinic.
出处
《中国当代医药》
2013年第34期25-26,共2页
China Modern Medicine
基金
江西省九江市社会发展计划项目[九科字(2012)63号]
关键词
支气管动脉栓塞
肺结核
咯血
临床观察f
Bronchial arterial embolization
Pulmonary tuberculosis
Hemoptysis
Clinical observation
