中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
21期
122-123
,共2页
肺结核%酚妥拉明%垂体后叶素%大咯血
肺結覈%酚妥拉明%垂體後葉素%大咯血
폐결핵%분타랍명%수체후협소%대각혈
Pulmonary tuberculosis%Phentolamine%Pituitrin%Massive hemoptysis
目的：探讨和分析垂体后叶素与酚妥拉明联合使用对肺结核咯血患者的临床效果和安全性。方法选取该院从2011年9月-2013年8月共收治的肺结核所致咯血患者86例作为研究对象，按随机原则分成对照组和观察组各为43例，对照组患者给予垂体后叶素辅以止血合剂进行治疗，观察组患者在对照组治疗的基础上，加用药物酚妥拉明。然后观察该两组患者的止血效果和不良反应状况。结果经治疗后，观察组患者的总有效例数为40例，有效率为93.0%，明显地高于对照组患者（69.8%），该两组患者的总有效率对比，存在有明显的差异。此外，对照组患者出现并发症的发生率为25.6%，观察组患者并发症的发生率为16.3%，该两组患者的并发症发生率对比，差异有统计学意义。结论对于肺结核大咯血患者，运用垂体后叶素和酚妥拉明联合使用，比单独使用垂体后叶素的止血效果明显，且并发症较少，属于一种比较安全有效的止血方法，非常值得在临床推广和使用。
目的：探討和分析垂體後葉素與酚妥拉明聯閤使用對肺結覈咯血患者的臨床效果和安全性。方法選取該院從2011年9月-2013年8月共收治的肺結覈所緻咯血患者86例作為研究對象，按隨機原則分成對照組和觀察組各為43例，對照組患者給予垂體後葉素輔以止血閤劑進行治療，觀察組患者在對照組治療的基礎上，加用藥物酚妥拉明。然後觀察該兩組患者的止血效果和不良反應狀況。結果經治療後，觀察組患者的總有效例數為40例，有效率為93.0%，明顯地高于對照組患者（69.8%），該兩組患者的總有效率對比，存在有明顯的差異。此外，對照組患者齣現併髮癥的髮生率為25.6%，觀察組患者併髮癥的髮生率為16.3%，該兩組患者的併髮癥髮生率對比，差異有統計學意義。結論對于肺結覈大咯血患者，運用垂體後葉素和酚妥拉明聯閤使用，比單獨使用垂體後葉素的止血效果明顯，且併髮癥較少，屬于一種比較安全有效的止血方法，非常值得在臨床推廣和使用。
목적：탐토화분석수체후협소여분타랍명연합사용대폐결핵각혈환자적림상효과화안전성。방법선취해원종2011년9월-2013년8월공수치적폐결핵소치각혈환자86례작위연구대상，안수궤원칙분성대조조화관찰조각위43례，대조조환자급여수체후협소보이지혈합제진행치료，관찰조환자재대조조치료적기출상，가용약물분타랍명。연후관찰해량조환자적지혈효과화불량반응상황。결과경치료후，관찰조환자적총유효례수위40례，유효솔위93.0%，명현지고우대조조환자（69.8%），해량조환자적총유효솔대비，존재유명현적차이。차외，대조조환자출현병발증적발생솔위25.6%，관찰조환자병발증적발생솔위16.3%，해량조환자적병발증발생솔대비，차이유통계학의의。결론대우폐결핵대각혈환자，운용수체후협소화분타랍명연합사용，비단독사용수체후협소적지혈효과명현，차병발증교소，속우일충비교안전유효적지혈방법，비상치득재림상추엄화사용。
Objective To explore and analyze the clinical effect and safety of pituitrin combined with phentolamine for patients with pulmonary tuberculosis hemoptysis. Methods 86 patients with hemoptysis caused by pulmonary tuberculosis admitted in our hospital from September 2011 to August 2013 were selected as the subjects and randomly divided into the control group and the observation group with 43 cases in each. Patients in the control group were treated by pituitrin combined with hemostatic mixture, and patients in the observation group were treated by phentolamine on the basis of the treatment of the control group. The hemo-static effect and the adverse reactions of two groups of patients were observed. Results After treatment, the total effective cases of the observation group were 40 cases, the effective rate was 93.0%, significantly higher than that (69.8%) of the control group, and the difference in total efficiency between the two groups was significant. In addition, the incidence of complications of the control group was 25.6%, and that of the observation group was 16.3%, the difference between the two groups in incidence of complica-tions was statistically significant. Conclusion For patients with hemoptysis of pulmonary tuberculosis, the effect of pituitrin com-bined with phentolamine is better than that of pituitrin alone, and the complications are less, which is a safe and effective hemo-static method and is worthy of clinical promotion and application.
