支气管动脉栓塞术治疗大咯血的疗效观察  

Efficacy observation of bronchial artery embolization in the treatment of massive hemoptysis

作　　者：邹晨 葛坤元[1] 蒋晓东[1] 陈秀峰[1] 余超[1] 程宝亮 ZOU Chen;GE Kun-yuan;JIANG Xiao-dong(Interventional Department,Yixing People's Hospital,Yixing 214200,China)

机构地区：[1]宜兴市人民医院介入科,214200

出　　处：《中国实用医药》2024年第10期57-59,共3页China Practical Medicine

摘　　要：目的 观察支气管动脉栓塞术治疗大咯血的疗效。方法 选择大咯血患者227例作为观察对象,将患者随机分为介入手术组(行支气管动脉栓塞术治疗, 90例)和内科治疗组(单纯行内科止血治疗, 137例)。比较两组患者的治疗效果,不同时间咯血量。结果 介入手术组总有效率94.44%高于内科治疗组的81.02%,差异具有统计学意义(P<0.05)。治疗后1、4、7 d,介入手术组咯血量分别为(0.61±0.27)、(0.39±0.10)、(0.04±0.01)ml,均低于内科治疗组的(20.46±2.41)、(10.22±2.24)、(4.22±0.95)ml,差异具有统计学意义(P<0.05)。结论 运用支气管动脉栓塞术治疗大咯血,可提升疗效、降低咯血量,可运用。Objective To observe the efficacy of bronchial artery embolization in the treatment of massive hemoptysis.Methods A total of 227 patients with massive hemoptysis were selected as the observation subjects and randomly divided into an interventional surgery group(treated with bronchial artery embolization,90 cases)and a medical treatment group(treated with internal medicine hemostasis alone,137 cases).The therapeutic effect and the amount of hemoptysis at different time points were compared between the two groups.Results The total effective rate of the interventional surgery group was 94.44%,which was higher than 81.02%of medical treatment group,and the difference was statistically significant(P<0.05).1,4 and 7 d after treatment,the amount of hemoptysis in the interventional surgery group were(0.61±0.27),(0.39±0.10)and(0.04±0.01)ml,which were lower than(20.46±2.41),(10.22±2.24)and(4.22±0.95)ml in the medical treatment group.The difference was statistically significant(P<0.05).Conclusion Bronchial artery embolization in the treatment of massive hemoptysis can improve the curative effect and reduce the amount of hemoptysis.

关 键 词：支气管动脉栓塞术 大咯血 疗效 咯血量 

分 类 号：R56[医药卫生—呼吸系统]