中国实用医药2024,Vol.19Issue(10) :57-59.DOI:10.14163/j.cnki.11-5547/r.2024.10.013

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

邹晨 葛坤元 蒋晓东 陈秀峰 余超 程宝亮
中国实用医药2024,Vol.19Issue(10) :57-59.DOI:10.14163/j.cnki.11-5547/r.2024.10.013

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

邹晨 1葛坤元 1蒋晓东 1陈秀峰 1余超 1程宝亮1
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作者信息

  • 1. 214200 宜兴市人民医院介入科
  • 折叠

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.

Abstract

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

Key words

Bronchial artery embolization/Massive hemoptysis/Efficacy/Amount of hemoptysis

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出版年

2024
中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
参考文献量16
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