文章摘要
纤维支气管镜下支气管结核冷冻疗法对肉芽增殖型支气管结核的疗效与安全性
Efficacy and safety of bronchial tuberculosis cryotherapy under fiberoptic bronchoscopy in treatment of granulation proliferating bronchial tuberculosis
投稿时间:2020-09-27  
DOI:10.3969/j.issn.1000-0399.2021.03.006
中文关键词: 纤维支气管镜  冷冻疗法  肉芽增殖型,支气管结核  第一秒用力呼气量
英文关键词: Fiber bronchoscope  Bronchial tuberculosis freezing  Granular proliferative bronchial tuberculosis  Forced expiratory volume in first second
基金项目:
作者单位
黄自强 225125 江苏省扬州市第三人民医院肺科 
吴俊杰 225125 江苏省扬州市第三人民医院肺科 
吴琼华 225125 江苏省扬州市第三人民医院肺科 
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中文摘要:
      目的 研究纤维支气管镜下支气管结核冷冻疗法对肉芽增殖型支气管结核的疗效与安全性。方法 选取扬州市第三人民医院2015年6月至2019年5月收治的肉芽增殖型支气管结核患者60例,根据治疗方案不同分为两组:对照组(n=30)给予常规规范抗结核治疗,观察组(n=30)在对照组基础上给予纤维支气管镜下冷冻治疗。观察两组治疗4周后疗效、痰菌转阴时间及治疗前和治疗4周后第一秒用力呼气量(FEV1)、降钙素原(PCT)、血沉(ESR)、超敏C反应蛋白(CRP)水平及治疗期间不良反应(如胸痛、出血、呼吸困难等)情况。结果 观察组总有效率高于对照组,痰菌转阴时间短于对照组,差异均有统计学意义(P<0.05),但两组不良反应发生率比较,差异无统计学意义(P>0.05)。两组治疗后FEV1较治疗前上升,PCT、CRP、ESR较治疗前下降,观察组上述指标治疗前后差值大于对照组(P<0.05)。结论 纤维支气管镜下支气管结核冷冻治疗肉芽增殖型支气管结核疗效显著,可抑制炎症因子释放,缩短痰菌转阴时间,安全性好。
英文摘要:
      Objective To study the curative effect of frozen therapy of bronchobronchial tuberculosis under fiberoptic bronchoscope on granulomatous proliferative bronchial tuberculosis and its safety. Methods Sixty patients with granulation proliferative bronchial tuberculosis admitted to Yangzhou Third People’s Hospital (June 2015 ~ May 2019) were divided into two groups according to the treatment plan. The control group was given routine anti-tuberculosis treatment, and the observation group was given frozen treatment under fiberoptic bronchoscopy on the basis of the control group. The efficacy of the two groups after four weeks of treatment, the time of conversion of sputum bacteria to yin, forced expiratory volume (FEV1), procalcitonin (PCT), erythrocyte sedimentation rate (ESR), hypersensitive C reactive protein (CRP) levels before treatment and the adverse reactions (such as chest pain, bleeding, dyspnea) during treatment were observed. Results The total effective rate in the observation group was higher than that in the control group (P<0.05), the time of sputum conversion shorter than that in the control group (P<0.05), the incidence of adverse reactions higher than that in the control group, and the difference was not statistically significant (P>0.05). FEV1 of the two groups increased after treatment, PCT, CRP, ESR decreased compared with those before treatment, and the difference of the above indexes in the observation group was more obvious than that in the control group (P<0.05). Conclusions The frozen treatment of granulation proliferative bronchial tuberculosis under fiberoptic bronchoscopy has remarkable curative effect, which can inhibit the release of inflammatory factors, shorten the time of phlegm bacteria turning negative, and has good safety.
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