摘要
目的:分析支气管镜下冷冻治疗联合球囊扩张治疗结核性支气管狭窄的效果。方法:选取2020年6月—2023年6月滨州市结核病防治院收治的结核性支气管狭窄患者90例作为研究对象,随机分为观察组和对照组,各45例。对照组实施支气管镜下球囊扩张术,观察组在对照组基础上实施冷冻治疗。比较两组支气管直径、气促评分、第1秒用力呼气容积(FEV_1)、临床疗效、并发症发生情况。结果:治疗前,两组支气管直径、气促评分、FEV_1比较,差异无统计学意义(P>0.05);治疗后,两组支气管直径大于治疗前,且观察组大于对照组,气促评分低于治疗前,且观察组低于对照组,两组FEV1高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组治疗总有效率高于对照组,差异有统计学意义(P=0.002)。观察组并发症总发生率低于对照组,差异有统计学意义(P=0.025)。结论:支气管镜下冷冻治疗联合球囊扩张治疗结核性支气管狭窄的效果显著,可扩张支气管,缓解患者临床症状,降低并发症发生率。
Objective:To analyze the effect of bronchoscopic cryotherapy combined with balloon dilatation in treatment of tubercu-lous bronchostenosis.Methods:A total of 90 patients with tuberculous bronchostenosis admitted to Binzhou City Tuberculosis Pre-vention and Treatment Hospital from June 2020 to June 2023 were selected as the study subjects.They were randomly divided into the observation group and the control group,with 45 cases in each group.The control group received bronchoscopic balloon dilata-tion,and the observation group received cryotherapy on the basis of the control group.Bronchial diameter,shortness of breath score,forced expiratory volume in 1 second(FEV1),clinical efficacy,and complications were compared between the two groups.Results:Before treatment,there was no significant difference in bronchial diameter,shortness of breath score and FEV1 between the two groups(P>0.05).After treatment,the bronchial diameter in the two groups was higher than that before treatment,and this indicator in the observation group was higher than that in the control group;the shortness of breath score in the two groups was lower than that before treatment,and this indicator in the observation group was lower than that in the control group;the FEV1 in the two groups was higher than that before treatment,and this indicator in the observation group was higher than that in the control group;and the difference was statistically significant(P<0.05).The total effective rate of treatment in the observation group was higher than that in the control group,and the difference was statistically significant(P=0.002).The total incidence of complica-tions in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.025).Conclusion:Bronchoscopic cryotherapy combined with balloon dilatation has a significant effect in the treatment of tuberculous bronchostenosis,and can dilate the bronchi,alleviate clinical symptoms of patients,and reduce the incidence of complications.
作者
王俊玲
赵吉庆
王志强
Wang Junling;Zhao Jiqing;Wang Zhiqiang(Tuberculosis Department,Binzhou City Tuberculosis Prevention and Treatment Hospital,Binzhou 251700,Shandong Province,China)
出处
《中国社区医师》
2024年第14期49-51,共3页
Chinese Community Doctors
关键词
结核性支气管狭窄
冷冻治疗
球囊扩张
Tuberculous bronchostenosis
Cryotherapy
Balloon dilatation
