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作 者:孙婷婷[1] 卢立国[1] SUN Tingting LU Liguo(Department of Respiratory Medicine, Shuyang County People's Hospital, Suqian Jiangsu 223600, Chin)
机构地区:[1]江苏省宿迁市沭阳县人民医院呼吸内科,江苏宿迁223600
出 处:《中国继续医学教育》2017年第23期110-112,共3页China Continuing Medical Education
摘 要:目的探究支气管动脉栓塞术在咯血患者治疗中的效果。方法选取我院收治的咯血患者50例作为研究对象。采用单双号编号法,将其分为两组。栓塞组(25例)患者采用支气管动脉栓塞术治疗,药物组(25例)患者应用蛇毒血凝霉止血治疗,均随访1年,研究对比两组咯血患者的止血时间、临床疗效及复发率。结果栓塞组患者的治疗总有效率为92.00%,高于药物组(68.00%),差异具有统计学意义(P<0.05);栓塞组患者的止血时间为(2.34±0.61)h,短于药物组的(121.24±24.78)h,且栓塞组患者的复发率为8.00%,低于药物组(32.00%),差异具有统计学意义(P<0.05)。结论支气管动脉栓塞术治疗咯血具有显著的止血效果。Objective To investigate the effect of bronchial artery embolization in the treatment of hemoptysis patients. Methods 50 cases of patients with hemoptysis were enrolled in this study. According to odd and even numbering method, they were divided into two groups. 25 cases of patients in the embolization group were treated with bronchial artery embolization. 25 cases of patients in the drug group were treated with snake venom and hemostasis. All patients were followed up for 1 year.The hemostasis time, clinical efficacy and recurrence rate were compared between the two groups. Results The total effective rate of the embolization group was 92.00%, higher than that of the drug group (68.00%), the difference was statistically significant (P 〈 0.05). The hemostasis time of the embolization group was (2.34±0.61) h, shorter than that of the drug group (121.24±24.78) h, the recurrence rate of the embolization group was 8.00%, which was lower than that of the drug group (32.00%), the difference was statistically significant (P 〈 0.05). Conclusion Bronchial arterial embolization has a significant hemostatic effect on hemoptysis.
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