摘要
目的探讨经支气管镜介入治疗气管支气管结核的近期临床效果。方法在医院2017年1—12月期间诊治的气管支气管结核患者中选取500例,并按治疗方案不同分组:对照组(n=250)采取规范3HRZE/9HRE抗结核方案治疗,研究组(n=250)则在规范3HRZE/9HRE抗结核方案治疗基础上联合支气管镜介入治疗;对比两组患者的痰菌转阴率和病灶吸收效果。结果 (1)研究组患者治疗后的痰菌转阴率是90.40%,高于对照组的78.80%(χ~2=7.168,P=0.007);(2)研究组患者的病灶吸收有效率是88.80%,高于对照组的65.60%(χ~2=7.025,P=0.008)。结论经支气管镜介入治疗气管支气管结核的近期临床效果确切,可有效促进痰菌转阴、病灶吸收,值得借鉴。
Objective To investigate the short-term clinical effect of transbronchoscopy in the treatment of tracheobronchial tuberculosis. Methods A total of 500 patients with tracheobronchial tuberculosis who were treated between January and December 2017 were enrolled in the hospital. The treatment groups were divided into groups： the control group （n=250） was treated with the standard 3HRZE/9HRE anti-tuberculosis regimen. The treatment group （n=250） was combined with bronchoscopy intervention on the basis of the standard 3HRZE/9HRE anti-tuberculosis regimen; the sputum negative rate and lesion absorption effect of the two groups were compared. Results 1.The sputum negative rate after treatment in the study group was 90.40%, which was higher than 78.80% of the control group （χ2=7.168, P=0.007）. 2.The effective rate of lesion absorption in the study group was 88.80%, higher than 65.60% of the control group （χ2=7.025, P=0.008）. Conclusion The short-term clinical effect of transbronchial intervention for tracheobronchial tuberculosis is clear, which can effectively promote the conversion of sputum to yin and lesions, which is worth learning.
作者
杨华
寇斌
YANG Hua;KOU Bin(Department of Tuberculosis,Xinjiang Uygur Autonomous Region Chest Hospital,Urumqi Xinjiang,830000 China)
出处
《系统医学》
2018年第17期48-50,共3页
Systems Medicine
关键词
经支气管镜介入治疗
痰菌转阴率
气管支气管结核
病灶吸收
近期效果
Transbronchoscopy interventional therapy
Sputum negative rate
Tracheobronchial tuberculosis
Lesion absorption
Recent effects
