CAJ | 학술논문

目的：探讨采用垂体后叶素联合酚妥拉明治疗支气管扩张合并咯血患者的临床疗效。方法按照数字随机表法将我院近年来收治的86例支气管扩张合并咯血患者平均分为观察和对照2组，所有患者均给予镇咳、化痰、抗感染、对症支持等常规治疗，观察组患者在此基础上应用垂体后叶素联合酚妥拉明治疗，比较两组患者的治疗总有效率。结果观察组患者治疗总有效率为95.3%，显著高于对照组患者的76.7%，组间差异可见统计学意义（P<0.05）。观察组患者用药过程中2例出现腹痛，2例出现胸闷，患者均能耐受，未影响治疗。结论垂体后叶素与酚妥拉明联合应用是一种治疗支气管扩张合并咯血患者的理想方法，应在临床大力推广使用。
목적：탐토채용수체후협소연합분타랍명치료지기관확장합병각혈환자적림상료효。방법안조수자수궤표법장아원근년래수치적86례지기관확장합병각혈환자평균분위관찰화대조2조，소유환자균급여진해、화담、항감염、대증지지등상규치료，관찰조환자재차기출상응용수체후협소연합분타랍명치료，비교량조환자적치료총유효솔。결과관찰조환자치료총유효솔위95.3%，현저고우대조조환자적76.7%，조간차이가견통계학의의（P<0.05）。관찰조환자용약과정중2례출현복통，2례출현흉민，환자균능내수，미영향치료。결론수체후협소여분타랍명연합응용시일충치료지기관확장합병각혈환자적이상방법，응재림상대력추엄사용。
Objective?To?investigate?the?clinical?effect?of?pituitrin?combined?with?phentolamine?in?the?treatment?of?patients?with?bronchiectasis?with?hemoptysis.?Methods?In?our?hospital?in?recent?years?in?86?cases?of?bronchiectasis?with?hemoptysis?were?divided?into?observation?and?control?group?2?in?accordance?with?the?digital?random?table?method,?all?patients?were?given?the?antitussive,?expectorant,?anti?infection,?symptomatic?and?supportive?treatment,?observation of pituitary application group patients based on Pituitrin and phentolamine treatment, comparison two groups of patients and the total efifciency. Results?In the observation group, the total effective rate was 95.3%, signiifcantly higher than the control group of 76.7%patients, the differences between groups showed statistical signiifcance(P<0.05).?Observation?group?patients?in?2?patients?had?abdominal?pain,?2?cases?of?chest?tightness,?patients?can?be?well?tolerated,?did?not?affect?the?treatment.?Conclusion?Pituitrin?and?phentolamine?combined?application?is?an?ideal?method?for?the?treatment?of?patients?with?bronchiectasis?with?hemoptysis,?should?be?popularized?in?clinic.