呼吸康复在支气管扩张伴咯血患者经动脉栓塞术后的疗效研究  

The effect of respiratory rehabilitation in patients with bronchiectasis-related hemoptysis after transarterial embolization

作　　者：赵雅静 严海涛 张金星[1] 茅矛[1] 刘圣[1] 施海彬[1] 祖庆泉[1] Zhao Yajing;Yan Haitao;Zhang Jinxing;Mao Mao;Liu Sheng;Shi Haibin;Zu Qingquan(Department of Interventional Radiology,the First Affiliated Hospital with Nanjing Medical University,Jiangsu Nanjing 210029,China)

机构地区：[1]南京医科大学第一附属医院介入放射科,江苏南京210029

出　　处：《中华介入放射学电子杂志》2025年第1期14-17,共4页Chinese Journal of Interventional Radiology:electronic edition

基　　金：江苏省科教能力提升工程(JSDW202243)。

摘　　要：目的探讨呼吸康复在支气管扩张伴咯血患者经动脉栓塞止血术后的疗效。方法回顾性收集2022年1月至2023年7月于南京医科大学第一附属医院因支气管扩张伴咯血经动脉栓塞成功止血后,予以呼吸康复治疗的25例患者的临床资料,分析患者术后咯血累积无复发率、6个月呼吸困难程度和生活质量。其中呼吸困难程度采用改良版英国医学研究委员会呼吸困难(modified medical research council,mMRC)分级评估;生活质量则采用生活质量问卷(12-item short-form health survey questionnaire,SF-12)评估。结果所有患者中位年龄60岁,女性占48%。13例患者咯血病史>6个月。咯血程度包括轻度14例(56%)和中度11例(44%)。术后1、3、6个月咯血累积无复发率分别为96%、88%、84%。mMRC分级0级18例(72%)、Ⅰ级6例(24%)、Ⅲ级1例(4%)。21例(84%)患者SF-12评分生理健康(physical component summary scale,PCS)≥50分,25例(100%)患者心理健康(mental component summary scale,MCS)均>50分。结论经动脉栓塞对治疗支气管扩张伴咯血是有效的,呼吸康复对这类患者术后呼吸困难程度及生活质量均有改善作用。Objective To explore the efficacy of respiratory rehabilitation in patients with bronchiectasis-related hemoptysis after bronchial artery embolization(BAE)treatment.Methods From January 2022 to July 2023,the clinical data of 25 patients with bronchiectasis-related hemoptysis who underwent success BAE treatment and followed receiving respiratory rehabilitation treatment at the First Affiliated Hospital with Nanjing Medical University were collected retrospectively.The cumulative recurrence-free rate of hemoptysis,degree of dyspnea at 6 months and health-realated quality of life were analyzed.The degree of dyspnea was evaluated by modified Medical Research Council dyspnea(mMRC)classification;and health-realated quality of life(HRQOL)was assessed by 12-item short-form health survey questionnaire(SF-12).Results The median age of all patients was 60 years old and female accounted for 48%.The history of hemoptysis in 13 patients was more than 6 months.The degree of hemoptysis included mild in 14 patients(56%)and moderate in 11 cases(44%).The cumulative recurrence-free rate of hemoptysis at 1,3,and 6 months after procedure were 96%,88%and 84%,respectively.The mMRC classification were 18(72%)in grade 0,6(24%)in grade I,and 1(4%)in grade III,respectively.Twenty-one(84%)patients had SF-12 score with PCS>50,while 25(100%)patients had MCS>50.Conclusion Transarterial embolization was effective in treating bronchiectasis-related hemoptysis.Respiratory rehabilitation could improve the degree of dyspnea and quality of life for these patients.

关 键 词：呼吸康复 支气管扩张 咯血 生活质量 支气管动脉栓塞术 

分 类 号：R563[医药卫生—呼吸系统]