聚乙烯醇颗粒与明胶海绵颗粒治疗急性大咯血的临床效果比较
惠满靖
（陕西省渭南市富平县医院，陕西 渭南，711700）
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摘要：
目的 探讨急性大咯血应用聚乙烯醇颗粒与明胶海绵颗粒治疗的临床效果。方法 抽取我院2011 年6 月至2016 年7 月收 治的急性大咯血患者100 例作为研究对象，采用完全双盲法将其分为对照组与观察组，各50 例。对照组采用明胶海绵颗粒治 疗，观察组采用聚乙烯醇颗粒治疗。比较两组治疗效果及并发症总发生率。结果 观察组治疗总有效率98.00%，显著高于对照组 的84.00%，差异具有统计学意义（P<0.05）；观察组并发症总发生率为6.00%，显著低于对照组的22.00%，差异具有统计学意义（P<0.05）。结论 在急性大咯血支气管动脉栓塞治疗中，聚乙烯醇颗粒明显优于明胶海绵颗粒的临床疗效，且安全性高。
关键词：急性大咯血；聚乙烯醇颗粒；明胶海绵颗粒
中图分类号：R563文献标志码：A文章编号：2096-1413(2018)01-0032-02
Clinical efficacy comparison of polyvinyl alcohol particles and gelfoam particles in the treatment of acute massive hemoptysis
HUI Man-jing
(the Hospital of Fuping County, Weinan 711700, China)
ABSTRACT: Objective To investigate the clinical efficacy of polyvinyl alcohol particles and gelfoam particles in the treatment of acute massive hemoptysis. Methods A total of 100 patients with acute massive hemoptysis admitted in our hospital from June 2011 to July 2016 were selected as the research objects. The patients were divided into control group and observation group according to double -blind method, with 50 cases in each group. The control group was treated with gelatin sponge particles, and the observation group was treated with polyvinyl alcohol particles. The curative effect and total complications rate were compared between the two groups. Results The total effective rate of observation group was 98.00%, which was significantly higher than 84.00% of the control group, the difference was statistically significant (P<0.05). The total incidence of complications in the observation group was 6.00%, which was significantly lower than 22.00% in the control group, the difference was statistically significant (P<0.05). Conclusion In the treatment of acute massive hemoptysis with bronchial artery embolization, the curative effect of polyvinyl alcohol particles is significantly better than that of gelatin sponge particles, and the safety of polyvinyl alcohol particles is high.
KEYWORDS: acute massive hemoptysis; polyvinyl alcohol particles; gelfoam particles
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