摘要
目的探讨支气管镜介入治疗老年支气管结核的临床效果。方法将2023年1月—2024年3月在本院治疗的70例老年支气管结核患者随机分为两组,每组35例。对照组使用全身抗结核治疗+镜下加药治疗+雾化结核药治疗,观察组使用全身抗结核治疗+支气管镜介入+雾化结核药治疗,对比两组的临床疗效、各项治疗指标、不良反应。结果观察组治疗有效率高于对照组(P<0.05);观察组咳嗽、咳痰、气短等症状缓解时间以及痰菌转阴时间均短于对照组,治疗后气道内径大于对照组(P<0.05);观察组发热、头晕、出血、食欲不振等不良反应发生率与对照组相当(P>0.05)。结论支气管镜介入治疗老年支气管结核的临床效果显著,能有效缩短症状缓解时间及痰菌转阴时间,扩大气道内径,具有较高的安全性。
Objective To explore the clinical effect of bronchoscope interventional therapy for senile bronchial tuberculosis.Methods Seventy elderly patients with bronchial tuberculosis treated in our hospital from January 2023 to March 2024 were randomly divided into two groups,with 35 patients in each group.The control group was treated with systemic anti-tuberculosis therapy+drug therapy under microscope+atomized tuberculosis drug therapy,and the observation group was treated with systemic anti-tuberculosis therapy+bronchoscopy intervention+atomized tuberculosis drug therapy.The clinical efficacy,various treatment indicators and adverse reactions were compared.Results The effective rate of treatment in the observation group was higher than that in the control group(P<0.05).The remission time of symptoms such as cough,expectoration and shortness of breath,and the time of sputum bacteria turning negative in the observation group were shorter,and the inner diameter of airway after treatment was larger(P<0.05).The incidence of adverse reactions such as fever,dizziness,bleeding and loss of appetite in the two groups were similar(P>0.05).Conclusion Bronchoscope interventional therapy for senile bronchial tuberculosis has obvious clinical effect,which can effectively shorten the time of symptom relief and sputum negative conversion,enlarge the inner diameter of airway,and has high safety.
作者
王磊
单武梁
贺彦琇
WANG Lei;SHAN Wuliang;HE Yanxiu(Interventional Pulmonary Disease Discipline,Lanzhou Pulmonary Hospital,Lanzhou,Gansu 730046)
出处
《智慧健康》
2025年第12期92-95,共4页
Smart Healthcare
基金
兰州市科技计划项目任务《兰州市初治肺结核耐药发生率现状研究及临床特征》(项目编号:2023-ZD-153)。
关键词
老年
支气管结核
支气管镜介入治疗
临床效果
Old age
Bronchial tuberculosis
Bronchoscope interventional therapy
Clinical effect
