摘要
目的:探讨动脉介入栓塞止血术治疗中老年咯血患者的临床效果及对复发率的影响。方法:选取2019年5月-2021年5月井冈山大学附属医院收治的中老年咯血患者82例,按随机数字表法将其分为对照组与观察组,每组41例。对照组予以常规药物治疗,观察组予以动脉介入栓塞止血术治疗,随访3个月。比较两组临床疗效、支气管动脉直径、咯血量、住院时间、复发率,并记录不良事件发生率。结果:观察组总有效率为97.56%,高于对照组的80.49%(P<0.05),观察组复发率为2.50%(1/40),低于对照组的15.15%(5/33)(P<0.05)。观察组治疗后支气管动脉直径、每日咯血量均低于对照组,住院时间短于对照组,差异均有统计学意义(P<0.05)。两组不良事件发生率相比,差异无统计学意义(P>0.05)。结论:动脉介入栓塞止血术可提高中老年咯血患者治疗效果,减少咯血量,缩短住院时间,降低复发率,值得广泛应用。
Objective:To investigate the clinical efficacy of arterial interventional embolization hemostasis in the treatment of middle-aged and elderly hemoptysis patients and its influence on the recurrence rate.Method:A total of 82 middle-aged and elderly hemoptysis patients admitted to Affiliated Hospital of Jinggangshan University from May 2019 to May 2021 were selected,and they were divided into the control group and the observation group according to the random number table method,41 cases in each group.The control group was treated with conventional medication,and the observation group was treated with arterial interventional embolization hemostasis,two groups were followed up for 3 months.The clinical efficacy,bronchial artery diameter and hemoptysis,hospital stay,and recurrence rate were compared between the two groups,and the incidence of adverse events was recorded.Result:The total effective rate of the observation group was 97.56%,which was higher than 80.49% of the control group(P<0.05),and the recurrence rate of the observation group was 2.50%(1/40),which was lower than 15.15%(5/33) of the control group(P<0.05).After treatment,bronchial artery diameter and daily amount of hemoptysis in the observation group were lower than those in the control group,and hospital stay was shorter than that in the control group,the differences were statistically significant(P<0.05).There was no significant difference in the incidence of adverse events between two groups(P>0.05).Conclusion:Arterial interventional embolization hemostasis can improve the therapeutic effect of middle-aged and elderly hemoptysis patients,reduce the amount of hemoptysis,shorten the length of hospital stay,reduce the recurrence rate,it is worthy of widespread application.
作者
曾兰辉
顾俊菁
盛忠兰
黄玲
高俊辉
肖本山
刘冬冬
侯佩
ZENG Lanhui;GU Junjing;SHENG Zhonglan;HUANG Ling;GAO Junhui;XIAO Benshan;LIU Dongdong;HOU Pei(Affiliated Hospital of Jinggangshan University,Ji’an 343000,China;不详)
出处
《中国医学创新》
CAS
2022年第16期71-74,共4页
Medical Innovation of China
基金
吉安市科技计划项目(吉市科计字[2020]51号(5-10))。
关键词
咯血
动脉介入栓塞止血术
保守治疗
日咯血量
复发率
Hemoptysis
Arterial interventional embolization hemostasis
Conservative treatment
Daily amount of hemoptysis
Recurrence rate
