论文部分内容阅读
目的:支气管结核是指气管支气管树的结核性感染。已有报告:链霉素与类固醇雾化吸入对支气管结核有效。但对支气管结核所致支气管狭窄的疗效尚未肯定。本研究旨在确定雾化治疗对它的疗效。 设计:本研究为一项观测性的、历史回顾性的、有对照的比较研究。回顾性分析27例支气管结核常规治疗及前瞻性分析30例雾化治疗的疗效。 方法与病人:共观察57例溃疡性支气管结核病人,致少具有治疗前后两次支气管镜俭查结果可籍以评估支气管狭窄的程度。支气管狭窄共分为最轻微、轻、中、重度及阻塞五级。支气管狭窄的随访结果则用加剧、无改变及好转予以评定。 结果:常规治疗组中:支气管狭窄加剧者13例,无改变者13例,好转者仅1例。而雾化治疗组中,无改变者27例,好转者3例,无1例加剧。两组疗效差异十分显著。 结论:雾化治疗支气管结核有助于防止发生进行性加重的支气管狭窄。
Purpose: Bronchial tuberculosis is a tuberculous infection of the tracheobronchial tree. It has been reported that inhaled streptomycin and steroids are effective for bronchial tuberculosis. However, bronchial bronchoconstriction caused by bronchial stenosis is not yet confirmed. The purpose of this study was to determine the efficacy of nebulized therapy on it. Design: This study is an observational, historical retrospective, and controlled comparative study. Retrospective analysis of 27 cases of conventional treatment of bronchial tuberculosis and prospective analysis of 30 cases of the efficacy of atomization. Methods and Patients: A total of 57 patients with ulcerative bronchial tuberculosis were observed, resulting in less bronchoscopy results before and after treatment may be used to assess the degree of bronchial stenosis. Bronchial stenosis is divided into the most minor, mild, moderate, severe and obstructive five. Bronchoconstriction follow-up results were exacerbated, unchanged and improved to be assessed. Results: The conventional treatment group: 13 cases of exacerbation of bronchial stenosis, 13 cases without change, only 1 case of improvement. The atomization treatment group, no change in 27 cases, improved in 3 cases, no one exacerbated. The difference between the two groups is very significant. Conclusion: Atomizing treatment of bronchial tuberculosis can help prevent the occurrence of progressive exacerbation of bronchoconstriction.