电子支气管镜介入加局部给药联合雾化吸入辅治支气管结核疗效观察

周永

（西安市胸科医院内镜中心，陕西 西安，710010）

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摘要：

目的 分析电子支气管镜介入加局部给药联合雾化吸入辅治支气管结核患者的临床效果。方法 回顾性分析我院收治 的100例支气管结核患者的临床资料，根据治疗方式将其分为研究组（50例）与对照组（50例）。对照组患者给予全身抗结核 药物联合雾化吸入治疗，研究组患者给予电子支气管镜介入加局部给药联合雾化吸入辅治，对比两组患者的电子支气管镜下改变情况、痰菌阴转率、胸部CT变化情况及临床表现。结果 与对照组比较，研究组患者的电子支气管镜下改善总有效率、痰菌阴转率、胸部CT改善总有效率以及临床表现改善总有效率明显更高，差异有统计学意义（P<0.05）。结论 电子支气管镜 介入加局部给药联合雾化吸入辅治支气管结核患者的临床效果十分显著，值得在临床治疗工作中推广运用。

关键词：电子支气管镜；雾化吸入；支气管结核；局部给药

中图分类号：R523文献标志码：A文章编号：2096-1413(2017)32-0026-02

Efficacy observation of electron bronchoscope intervention plus topical administration combined with atomization inhalation on bronchial tuberculosis
ZHOU Yong
(Endoscopy Center, Xi``an Chest Hospital, Xi``an 710010, China)

ABSTRACT: Objective To analyze the clinical effect of electron bronchoscope plus topical administration combined with atomization inhalation in bronchial tuberculosis. Methods The clinical data of 100 patients with bronchial tuberculosis admitted in our hospital were retrospectively analyzed, the patients were divided into study group (50 cases) and control group (50 cases) according to the treatment methods. The control group was treated with systemic anti -tuberculosis combined with atomization inhalation, while the study group was treated with electron bronchoscope plus topical administration combined with atomization inhalation. The changes in bronchoscope, sputum negative rate, chest CT and clinical manifestations were compared between the two groups. Results Compared with the control group, the total effective rate of situations under the sputum negative rate, chest CT improvement and clinical manifestations improvement in the study group were significantly higher (P<0.05). Conclusion Electron bronchoscope plus topical administration combined with atomization inhalation has very significant effect in the treatment of bronchial tuberculosis, which is worthy of popularization in clinical treatment.
KEYWORDS: electronic bronchoscopy; atomization inhalation; bronchial tuberculosis; topical administration

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