雾化吸入联合纤支镜给药治疗支气管内膜结核的疗效观察及护理
蒋雅娟,张巧焕,周敏
(西安市胸科医院,陕西 西安,710061)
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摘要:
目的 探讨支气管内膜结核的联合治疗和护理方法。方法 将60例确诊为支气管内膜结核的患者随机分为对照组和治疗组,各30例。对照组接受常规的全身抗结核治疗,治疗组在全身抗结核治疗的基础上,应用纤支镜局部给药1次/周,同时给予雾化吸入2次/d 的联合疗法。治疗2个月后观察并比较两组患者的治疗效果。结果 两组患者在临床症状改善效果、痰菌阴转率、纤支镜下病灶吸收率方面比较,差异均存在统计学意义(P<0.05)。结论 雾化吸入联合纤支镜局部给药治疗支气管内膜结核,疗程短、费用低、患者痛苦小,治疗及护理效果显著。
关键词:结核;支气管内膜;纤支镜
中图分类号:R521文献标志码:A文章编号:2096-1413(2017)08-0155-02
Efficacy observation and nursing of endobronchial tuberculosis treated with atomization inhalation
combined with bronchoscopy
JIANG Ya-juan, ZHANG Qiao-huan, ZHOU Min
(Xi'an Chest Hospital, Xi'an 710061, China)
ABSTRACT: Objective To discuss a combined treatment and nursing method of patients with endobronchial tuberculosis (EBTB). Methods Sixty cases of patients with EBTB were randomly divided into control group and treatment group, with 30 cases in each group. The control group received routine systemic anti-tuberculosis treatment, while the treatment group added a combined method that was local drug delivery once a week under bronchoscopy, and aerosol inhalation twice a day. After 2 months of treatment and nursing, the effects were observed and compared between the two groups. Results There were significant differences of the improvement of clinical symptoms, the rate of sputum negative conversion and the lesions absorbance rate under bronchoscopy between the two groups (P <0.05). Conclusion Inhalation combined with bronchoscopy local treatment has short course of treatment, low cost and small pain of patients for endobronchial tuberculosis. The effect of treatment and nursing is remarkable.
KEYWORDS: tuberculosis; bronchial intima; bronchofiberscope
参考文献:
[1] 韩金.经纤维支气管镜治疗支气管内膜结核患者的护理体会[J].中 国城乡企业卫生,2013,28(4):89-90.
[2] 王自财,张小莉,郑跃杰,等.儿科塑型性支气管炎特征分析[J].北华 大学学报:自然科学版,2013,14(3):329-332.
[3] 李文荣,孟繁峥,梁航,等.儿童塑型性支气管炎临床分析[J].中国妇 幼保健,2014,29(33):5428-5429.
[4] 祝咏梅.纤维支气管镜治疗支气管内膜结核54例综合护理分析 [J].吉林医学,2014,35(14):3138-3139.
[5] 屈文东.43例甲型H1N1流感确诊病例临床特点分析[J].中华医院 感染学杂志,2012,22(7):1405-1406.
[6] 许静,张维娟,尤弘霞.雾化吸入联合纤维支气管镜局部注药治疗支气管内膜结核的护理分析[J].甘肃医药,2014,33(12):954-955.
[7] 白科,林晓娟,刘成军.小儿危重症甲型流感并发塑型支气管炎15例临床分析[J].重庆医科大学学报,2015,40(1):140-141.
[8] 耿刚,罗健,罗征秀,等.布地奈德混悬液联合纤支镜用于儿童甲型H1N1/H3N2感染合并塑型性支气管炎的病例分析[J].中国药房,2013,26(35):4981-4984.