支气管动脉栓塞与神经垂体素治疗肺结核咯血对比分析  

Comparision of bronchial artery embolization with pituitrin for the treatment of hemoptysis caused by pulmonary tuberculosis

作　　者：陈桂轩[1] 翟洁卿[1] 

机构地区：[1]广东省东莞市人民医院感染科,广东东莞523018

出　　处：《临床和实验医学杂志》2009年第3期45-46,共2页Journal of Clinical and Experimental Medicine

摘　　要：目的对比采用支气管动脉栓塞与静滴神经垂体素稀释液治疗肺结核咯血的优劣。方法将60例肺结核咯血患者平均分为对照组及治疗组。在常规治疗肺结核咯血基础上,对照组采用神经垂体素治疗,治疗组采用肺支气管动脉栓塞手术治疗。比较观察两组咯血缓解情况。结果对照组:显效6例,有效13例,总有效(显效加有效)率63.3%;无效11例。治疗组:显效19例,有效8例,总有效率90.0%;无效3例,占10.0%。两组间总有效率治疗组优于对照组,差异有显著性(P<0.05)。对照组不良反应发生率23.3%明显高于治疗组(3.3%),差异具有显著性(P<0.05)。结论采用支气管动脉栓塞治疗肺结核咯血效果优于静滴注神经垂体素稀释液。Objective To compare the curative efficiency of bronchial artery embolization with pituitrin for the treatment of hemoptysis caused by pulmonary tuberculosis. Methods Sixty cases of pulmonary tuberculosis with massive hemoptysis were assigned to receive either bronchial artery embolization （ n = 30） or hypophysin （ n = 30）. The clinical effect was compared. Results Thirteen cases were cured and 6 cases showed marked effect in hypophysin group, 19 cases were cured and 8 cases showed marked effect in embolization group; the total effective rate was 63.3% （19/30） for hypophysin group and 90.0% （27/30） for embolization group （ P 〈0.05）. More adverse reactions were found in hypophysin group than in the embolization group （23.3% vs 3.3% ）. Conculsion Bronchial artery embolization is more effective than pituitrin for the treatment of hemoptysis.

关 键 词：支气管动脉栓塞 神经垂体素 肺结核 咯血 

分 类 号：R521[医药卫生—内科学]