摘要
目的探讨介入栓塞治疗支气管扩张咯血的效果及对生活质量的影响。方法选取本院2015年7月~2019年6月收治的支气管扩张咯血患者50例,对照组采取内科保守治疗(n=25,行常规治疗手段),介入组采取介入栓塞治疗(n=25,应用介入栓塞手段),观察两组患者的出血总量、出血时间、治疗有效率、术后并发症及生活质量。结果治疗后,介入组的出血时间较对照组缩短,且出血总量较对照组降低(t=14.112,P=0.000;t=22.324,P=0.000);治疗后,介入组的总有效率明显高于对照组(χ2=5.358,P=0.021);对照组的并发症发生率为12.00%,而介入组为16.00%,两组差异无统计学意义(χ2=0.166,P=0.684);治疗前,两组咯血患者的SGRQ评分无统计学差异(P>0.05);治疗后,两组的SGRQ评分均较治疗前降低,且介入组的SGRQ评分明显低于对照组(t=10.091,P=0.000)。结论采用介入栓塞治疗支气管扩张咯血可以降低出血量、改善生活质量、缩短出血时间、提高治疗有效率且并发症较少,对治疗因支气管扩张导致的咯血作用较大。
Objective To explore the effect of interventional embolization in the treatment of bronchiectasis accompanied by hemoptysis and its influence on the quality of life of patients.Methods Fifty patients with bronchiectasis accompanied by hemoptysis admitted to our hospital from July 2015 to June 2019 were selected as subjects.Subjects receiving conservative medical treatment were assigned to the control group(n=25,conventional treatment),while subjects receiving interventional embolization were assigned to the interventional group(n=25,interventional embolization).The total bleeding amount,bleeding time,effective rate,postoperative complications and quality of life of the patients in the two groups were observed.Results After treatment,the bleeding time of the intervention group was shorter than that of the control group,and the total bleeding amount was smaller than that of the control group(t=14.112,P=0.000;t=22.324,P=0.000).After treatment,the total effective rate of the intervention group was significantly higher than that of the control group(χ2=5.358,P=0.021).The complication rate of the control group was 12.0%,while that of the intervention group was 16.00%.After comparison,the difference was not statistically significant(χ2=0.166,P=0.684).Before treatment,there was no statistical difference in the SGRQ scores between the two groups of patients with hemoptysis(P>0.05).The SGRQ scores of the two groups after treatment were both lowered compared with those before treatment.After treatment,the SGRQ score of the intervention group was significantly lower than that of the control group(t=10.091,P=0.000).Conclusion Interventional embolization in the treatment of hemoptysis caused by bronchiectasis can reduce the amount of bleeding,improve the quality of life,shorten the bleeding time,improve the effective rate of treatment and lead to fewer complications.It has a great effect on the treatment of hemoptysis caused by bronchiectasis.
作者
张志强
王奕
韩涛
崔刚
ZHANG Zhiqiang;WANG Yi;HAN Tao;CUI Gang(Department of Interventional Vascular Surgery,Pingxiang People's Hospital in Jiangxi Province,Pingxiang337000,China)
出处
《中国现代医生》
2019年第35期1-3,7,共4页
China Modern Doctor
关键词
支气管扩张
咯血
介入栓塞
生活质量
Bronchiectasis
Hemoptysis
Interventional embolization
Quality of life
