摘要
目的探讨急诊介入治疗晚期肺癌大咳血的疗效。方法选取2015年9月至2016年9月间山东省临朐县人民医院收治的90例肺癌大出血患者,根据就诊时间顺序分为观察组与对照组,每组45例,观察组患者给予急诊介入治疗,对照组患者给予常规内科对症治疗,对比两组患者临床疗效、不良反应及生活质量。结果观察组患者临床总有效率93.3%明显高于对照组的82.2%,差异有统计学意义(P<0.05)。观察组患者胸闷胸痛、发热低热和咽部不适的不良反应发生率分别为2.2%、4.4%和2.2%,均低于对照组的8.9%、11.1%和6.7%,差异均有统计学意义(均P<0.05)。观察组患者躯体功能、躯体角色受限、躯体疼痛、心理健康、情绪角色受限、活力、社交功能及整体健康评分均高于对照组,差异均有统计学意义(均P<0.05)。结论急诊介入治疗晚期肺癌大咯血患者可获得满意疗效,明显缓解患者症状,改善患者生活质量。
Objective To explore and analyze the Efficacy of emergency interventional treatment for massive hemoptysis in advanced lung cancer. Methods Ninety patients with massive hemoptysis associated with advanced lung cancer at Linqu County People＇s Hospital from September 2015 to September 2016 were selected. According to the sequence of admission,these patients were divided into an observation group and a control group with 45 patients in each group. The observation group was given emergency interventional therapy and the control group was given conventional symptomatic treatment with medicine. Clinical curative efficacy,adverse reaction and quality of life were compared between the two groups. Results The overall efficacy rate was 93. 3% for the observation group which was higher than 82. 2% of the control group（ P〈0. 05）. The incidence of adverse reactions of suppression in the chest and chest pain,fever and low thermal and pharynx ministry unwell was 2. 2%,4. 4% and 2. 2% respectively for the observation group which was lower than 8. 9%,11. 1% and 6. 7% of the control group（ all P〈0. 05）. The scores of limited physical function,physical character,physical pain,mental health,emotional limited role,vitality,social contact function and overall health were higher in the observation group than in the control group（ all P〈0. 05）. Conclusion For patients with advanced lung cancer associated with massive hemoptysis,emergency interventional treatment can obtain satisfactory treatment efficacy,which may obviously relieve symptoms and improve quality of life.
出处
《中国肿瘤临床与康复》
2018年第1期77-79,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
急诊介入
晚期肺肿瘤
咯血
治疗结果
生活质量
Emergency intervention
Advanced lung neoplasms
Hemoptysis
Treatment outcomes
Quality of life
