外周血管介入术治疗大咯血患者的临床效果  

Clinical effects of peripheral vascular interventional surgery in treatment of massive hemoptysis

作　　者：石威 赵好果 SHI Wei;ZHAO Haoguo(Southwest Lu Hospital,Interventional Diagnosis and Treatment Center,Liaocheng 252300 Shandong,China;Southwest Lu Hospital,Radiology Imaging Center,Liaocheng 252300 Shandong,China)

机构地区：[1]山东省聊城鲁西南医院介入诊疗中心,山东聊城252300 [2]山东省聊城鲁西南医院放射影像中心,山东聊城252300

出　　处：《中国民康医学》2021年第10期11-12,15,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察外周血管介入术治疗大咯血患者的临床效果。方法:选取60例大咯血患者作为研究对象,按照随机数字表法分为观察组和对照组各30例。观察组采用外周血管介入术治疗,对照组采用药物保守治疗,比较两组止血总有效率,治疗后6、24、48 h咯血量,以及不良反应/并发症发生率。结果:治疗后,观察组止血总有效率为93.33%,高于对照组的66.67%,差异有统计学意义(P<0.05);治疗后6、24、48 h,观察组咯血量均少于对照组,差异有统计学意义(P<0.05);观察组不良反应/并发症发生率为3.33%,低于对照组的26.67%,差异有统计学意义(P<0.05)。结论:外周血管介入术治疗大咯血患者可提高止血总有效率,降低咯血量和不良反应/并发症发生率,其效果优于药物保守治疗。Objective:To analyze clinical effects of peripheral vascular interventional surgery in treatment of massive hemoptysis.Methods:60 patients with massive hemoptysis were selected as the research objects,and were divided into observation group and control group according to the random number table method,30 cases in each group.The observation group was treated with peripheral vascular interventional surgery,while the control group was treated conservative drug treatment.The total effective rate of hemostasis,the amounts of hemoptysis 6,24,and 48 h after the treatment,and the incidence of adverse reactions/complications were compared between the two groups.Results:After the treatment,the total effective rate of hemostasis in the observation group was 93.33%,which was higher than 66.67%in the control group,and the difference was statistically significant(P<0.05).6,24,and 48 h after the treatment,the volumes of hemoptysis in the observation group were less than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of adverse reactions/complications in the observation group was 3.33%,which was lower than 26.67%in the control group,and the difference was statistically significant(P<0.05).Conclusions:Peripheral vascular interventional surgery in the treatment of massive hemoptysis can improve the total effective rate of hemostasis,and reduce the volume of hemoptysis and the incidence of adverse reactions/complications.Moreover,it is superior ton conservative drug treatment.

关 键 词：外周血管介入术 药物 大咯血 止血 

分 类 号：R441.7[医药卫生—诊断学]