摘要
目的探讨支气管动脉栓塞配合全程优质护理对大咯血患者临床转归的影响。方法选取本院133例大咯血患者,按照随机数字表法分为对照组和试验组,其中对照组57例,试验组76例。2组患者均采取超选择性支气管动脉栓塞治疗,其中试验组患者均使用全程优质护理,对照组患者则采取常规护理措施。比较2组住院时间和病情转归、临床疗效、不良反应、医院焦虑抑郁量表(HAD)评分情况、治疗前后症状自评量表(SCL-90)。结果试验组患者治疗后的SCL-90总分、总均分、阳性项目数以及阳性症状均分均低于治疗前(P<0.05),治疗后试验组患者的SCL-90总分、总均分、阳性项目数以及阳性症状均分均低于对照组患者(P<0.05);对照组患者治疗后的总均分及阳性项目数均低于治疗前(P<0.05)。治疗后试验组患者的抑郁和焦虑的阳性率显著低于治疗前(P<0.05);治疗后对照组患者抑郁和焦虑的阴性率均显著高于治疗前(P<0.05),试验组患者的抑郁和焦虑的阳性率均显著低于对照组(P<0.05)。试验组患者的住院时间为(15.94±7.93)d,显著低于对照组的(22.10±9.38)d,试验组患者的病情转归情况显著优于对照组患者(P<0.05);试验组患者的总有效率为98.7%,显著高于对照组患者的84.2%;试验组患者中出现过敏、尿潴留、吞咽困难、发热伴胸背痛、穿刺处血肿等不良反应情况的发生率均低于对照组患者(P<0.05)。结论使用支气管动脉栓塞配合全程优质护理治疗大咯血患者不仅能够有效降低患者的复发率,提高患者的整体治疗效果,同时也是保证介入栓塞治疗成功的有力手段。
Objective To investigate the effect of bronchial artery embolization combined with whole course high quality nursing on prognosis of patients with massive hemoptysis. Methods A total of 133 massive hemoptysis patients were randomly divided into control group with 57 cases and experimental group with 76 cases according to random number table method. Patients of two groups were taking selective bronchial artery embolization treatment, and patients of experimental group used the whole quality of nursing, the control group received conventional nursing measures. Length of hospital stay, patients＇ outcomes, clinical efficacy, adverse reactions, hospital anxiety depression scale （HAD） score, symptom self-assessment scale （SCL-90） scores before and after treatment were compared. Results The total scores of SCL-90, total average score, number of positive items, posi- tive symptom scores of experimental group after treatment were lower than treatment before and the control group （P 〈 0.05 ） ; The total average score and the number of positive items in the control groups after treatment were lower than treatment before （ P 〈 0.05 ）. The positive rate of depression and anxiety of patients in the experimental group after treatment were significantly lower than treat ment before（P 〈0.05） ; After treatment, the negative rate of depression and anxiety of control group were significantly higher than treatment before （ P 〈 0. 0 5 ） ; After treatment , the positive rate of depression and anxiety of patients in the experimental group were significantly lower （ P 〈 0.05 ）. The hospitalization time in the experimental group was （ 15.94 ± 7.93 ） d, significantly lower than （22.10±9.38） d in the control group（P 〈0.05）. The prognosis in experimental group was significantly better than the control group （P 〈 0.05 ）. The total effective rate in experimental group was 98.7%, significantly higher than 84.2% in the control group （P 〈 0.05 ）. The incidence of adverse reaction
出处
《实用临床医药杂志》
CAS
2017年第10期17-20,共4页
Journal of Clinical Medicine in Practice
基金
四川省卫生厅研究基金(2015823kb)
关键词
咯血
栓塞
介入护理
并发症
支气管动脉
hemoptysis
embolism
interventional nursing
complication
bronchial artery
