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目的探讨肺结核合并咯血患者实施支气管动脉栓塞的临床治疗效果。方法 54例肺结核合并咯血患者随机分为对照组和观察组,每组27例。两组均采用2HRZE/4HR抗结核治疗方案进行治疗,其中对照组辅助内科药物行保守治疗,观察组辅助支气管动脉栓塞术治疗,比较两组患者的治疗效果。结果对照组的治疗总有效率明显低于观察组,组间比较差异具有统计学意义(P<0.05);对照组经治疗后72 h和7 d的咳血量分别为(69±13)ml、(44±12)ml,观察组分别为(51±10)ml、(21±11)ml,组间比较差异具有统计学意义(P<0.05)。结论肺结核合并咯血患者实施支气管动脉栓塞可获得良好的治疗效果,同时安全性也较高,临床上可加以借鉴和推广。
Objective To investigate the clinical effect of bronchial artery embolization in pulmonary tuberculosis complicated with hemoptysis. Methods 54 patients with pulmonary tuberculosis and hemoptysis were randomly divided into control group and observation group, 27 cases in each group. The two groups were treated with 2HRZE / 4HR antituberculous therapy, in which the control group assisted the conservative treatment of medical drugs, the observation group assisted bronchial artery embolization treatment, the treatment effect of two groups were compared. Results The total effective rate of the control group was significantly lower than that of the observation group (P <0.05). The blood volume of the control group at 72 h and 7 d was (69 ± 13) ml , (44 ± 12) ml in the observation group were (51 ± 10) ml and (21 ± 11) ml, respectively. There was significant difference between the two groups (P <0.05). Conclusion Pulmonary tuberculosis with hemoptysis in patients with bronchial artery embolization can get good treatment, but also higher safety, can be used clinically and promote.