[1]田雅文,余德美,刘 政,等.无痛纤支镜治疗空洞型肺结核的临床护理[J].西部中医药,2012,25(10):112-114.
　TIAN Ya-wen,YU De-mei,LIU Zheng,et al.Nursing for Painless Fibrobronchoscopy in Treating Cavernous Pulmonary Tuberculosis[J].Western Journal of Traditional Chinese Medicine,2012,25(10):112-114.
点击复制

无痛纤支镜治疗空洞型肺结核的临床护理
分享到：

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
25
期数:
2012年10期
页码:
112-114
栏目:
出版日期:
2012-10-15

文章信息/Info

Title:
Nursing for Painless Fibrobronchoscopy in Treating Cavernous Pulmonary Tuberculosis
文章编号:
1004-6852(2012)10-0112-03
作者:
田雅文，余德美，刘 政，魏香兰，杨卫民，高保护，李养军，武延琴
西安市结核病胸部肿瘤医院，陕西 西安 710061
Author(s):
TIAN Ya-wen, YU De-mei, LIU Zheng, WEI Xiang-lan, YANG Wei-min, GAO Bao-hu, LI Yang-jun, WU Yan-qin
Xi′an Chest & TE Hospital, Xi′an 710061, China
关键词:
纤维支气管镜; 无痛技术; 肺结核; 空洞; 短程疗法
Keywords:
fibrobronchoscopy;  painless technique;  tuberculosis;  cavernous;  short course therapy
分类号:
R521
文献标志码:
B
摘要:
目的：探讨无痛纤支镜给药治疗空洞型肺结核的护理方法，探索空洞型肺结核短程化疗实施路径。方法：采用随机配对分组法，将126例空洞型肺结核患者分为治疗组(M组，63例)和对照组(C组，63例)。化疗方案：M组3HRZEAK/6HRE，另通过无痛纤支镜给药，强化期每周1次；C组不用纤支镜给药，化疗方案同M组。结果：强化期结束时，M组与C组痰菌阴转率分别为92.06%和49.21%，2组之间的差异具有统计学意义(χ2=27.894，P＜0.01)；空洞闭合率分别为67.67%和30.16%，2组之间的差异具有统计学意义(χ2=16.811，P＜0.01)。疗程结束时，M组与C组痰菌阴转率分别为98.00%和63.49%，组间差异具有统计学意义(χ2=24.912，P＜0.01)；空洞闭合率分别为92.06%和46.03%，组间差异具有统计学意义( χ2=31.231，P＜0.01)。结论：无痛纤支镜给药治疗空洞型肺结核，可使痰菌转阴和空洞闭合的时间缩短，9个月短程化疗安全可靠，效果满意。
Abstract:
Objective: To approah the nursing method for painless fibrobronchoscopy in the treatment for cavernous pulmonary tuberculosis and explore implementation path of short-course chemotherapy. Method: All 126 patients were randomly allocated to treatment group (M group) and control group(C group) with the random pairing method. Chemotherapy plan: M group 3HRZEAK/6HRE, administered through fibrobronchoscopy, once each week in the intensive period; chemotherapy plan of C group was the same with M group. Result: After intensive period finished, the sputum conversion rates of M group and C group were respectively 92.06%and 49.21%, comparison between both groups demonstrated statistical meaning ( χ2=27.894, P＜0.01); closing rates of pulmonary cavities were 67.67% and 30.16%, comparison between both groups suggested statistical meaning ( χ2=16.811, P＜0.01). When the session ended, the sputum conversion rates of M group and C group were respectively 98.00% and 46.03%, comparison between both groups demonstrated statistical meaning( χ2=24.912, P＜0.01); closing rates of pulmonary cavities were 92.06% and 46.03%, comparison between both groups suggested statistical meaning ( χ2=31.231, P＜0.01). Conclusion: Painless fibrobronchoscopy in treating cavernous pulmonary tuberculosis could shorten the sputum conversion time and closing time of pulmonary cavities. Short-course chemotherapy for nine months is safe and reliable and could obtain satisfactory results, which should be widely used in clinic.

参考文献/References:

［1］ 中华医学会.临床治疗指南：结核病分册［M］.北京：人民卫生出版社，2005：64-86.
［2］ 邵兵，刘琴湘，张斌，等.不同剂量瑞芬太尼复合异丙酚的器官插管条件及血流动力学变化［J］.国际麻醉学与复苏杂志，2006，27(5)：261-263.
［3］ 刘政，雍文成，黄伟栋，等.咪唑安定或丙泊酚复合雷米芬太尼喉罩通气下纤维支气管镜检查的临床观察［J］.临床麻醉学杂志，2009，25(3)：261-262.
［4］ 中华医学会.临床技术操作规范：结核病分册［M］.北京：人民军医出版社，2004：83-89.
［5］ 纪同玲.肺结核咯血病人的护理［J］.内蒙古中医药，2012，30(14)：131-132.
［6］ 黄文静.肺结核患者心理健康状况及其需求探讨［J］.临床合理用药杂志，2012，5(22)：113-114.
［7］ 朱静.浅谈肺结核患者的护理［J］.中国医学创新，2012，9(20)：85-86.
［8］ 印霞.浅谈肺结核病人的护理特点［J］.黑龙江医药，2009，22(6)：3-5.
［9］ 胡丽娜.糖尿病合并肺结核38例的护理［J］.中国误诊学杂志，2012，12(13):3416-3417.
［10］ 张晓莉.22例肺结核合并咯血的临床护理体会［J］.按摩与康复医学，2012，28(23)：136-137.
［11］ 刘祖元.60例肺结核合并大咯血的护理［J］.咸宁学院学报：医学版，2012，26(3)：261-262.
［12］ 石微.肺结核咯血病人的临床观察及护理［J］.辽宁医学院学报，2012，33(3)：279-280.
［13］ 吴秀益，宋育明，廖育荣.肺结核合并糖尿病患者125例护理［J］.福建医药杂志，2012，34(3)：172-173.

相似文献/References:

[1]马俊峰,谢鑫,张博达,等.68例肺部占位纤维支气管镜下特点与中医证型的相关性研究[J].西部中医药,2023,36(05):72.[doi:10.12174/j.issn.2096-9600.2023.05.16]
　MA Junfeng,XIE Xin,ZHANG Boda,et al.The Correlation Study between the Characteristics of Fiberoptic Bronchoscope in 68 Patients with Pulmonary Space-occupying Diseases under Bronchfiberscope and TCM Patterns[J].Western Journal of Traditional Chinese Medicine,2023,36(10):72.[doi:10.12174/j.issn.2096-9600.2023.05.16]

备注/Memo

备注/Memo:
收稿日期：2012-06-01 作者简介：田雅文(1958—)，女，主管护师。研究方向：肺结核的中西医结合护理。
更新日期/Last Update: 1900-01-01