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平煤神马医疗集团总医院呼吸与危重症医学科
纸质出版日期:2022,
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雷立锋, 李雪, 胡会杰. 酚妥拉明联合垂体后叶素治疗支气管扩张伴咯血的疗效研究[J]. 保健医学研究与实践, 2022,19(5):42-46.
Lei Lifeng, Li Xue, Hu Huijie. Efficacy of phentolamine in combination with posterior pituitary hormone in the treatment of bronchiectasis[J]. Health Medicine Research and Practice, 2022,19(5):42-46.
目的 探讨酚妥拉明联合垂体后叶素治疗支气管扩张伴咯血的疗效。方法 选取2018年2月—2021年2月平顶山某医院收治的80例支气管扩张伴咯血患者为研究对象
采用随机数字表法分为对照组(n=40)和研究组(n=40)。对照组患者给予垂体后叶素治疗
研究组患者给予酚妥拉明联合垂体后叶素治疗
2组患者均持续治疗5 d。比较2组患者临床疗效;比较2组患者症状(发热消失时间、咯血缓解时间及住院时间)改善时间及治疗期间胸闷、头晕及胃肠道反应等不良反应发生情况;比较2组患者治疗前后圣乔治呼吸问卷(SGRQ)评分、血气指标[动脉血氧分压(Pa O2)、血氧饱和度(Sa O2)、氧合指数(Pa O2/Fi O2)]和生活质量。结果 研究组患者治疗总有效率为97.5%
高于对照组的77.5%
差异有统计学意义(P<0.05)。研究组患者治疗期间不良反应发生率为5.0%
低于对照组的20.0%
差异有统计学意义(P<0.05)。治疗后
2组患者SGRQ各维度评分及总评分均低于治疗前
且研究组低于对照组
差异均有统计学意义(P<0.05)。研究组患者发热消失时间、咯血缓解时间及住院时间均短于对照组
差异均有统计学意义(P<0.05)。治疗后
2组患者Pa O2、Sa O2及Pa O2/Fi O2水平均高于治疗前
且研究组高于对照组
差异均有统计学意义(P<0.05)。治疗后
2组患者健康调查简表(SF-36)各维度评分均高于治疗前
且研究组高于对照组
差异均有统计学意义(P<0.05)。结论 酚妥拉明与垂体后叶素联合治疗支气管扩张伴咯血患者疗效确切
可显著降低不良反应
缩短症状改善时间
改善血气指标及生活质量
值得在临床上推广使用。
Objective To investigate the efficacy of phentolamine in combination with posterior pituitary hormone in the treatment of bronchiectasis.Methods Eighty patients with bronchiectasis admitted to a hospital in Pingdingshan from February 2018 to February 2021 were selected as subjects and divided into a control group(n=40) and an experimental group(n=40) using the random number table.The patients in the control group were treated with posterior pituitary hormone and the patients in the experimental group were treated with phentolamine combined with posterior pituitary hormone
and both groups were continuously treated for 5 d.The clinical efficacy of the two groups was compared;the improvement time of symptoms(time to disappearance of fever
time to relief of cough and hospitalization) and the occurrence of adverse reactions such as chest tightness
dizziness and gastrointestinal reactions during the treatment were compared;the St.George’s Respiratory Questionnaire(SGRQ) scores before and after treatment were compared between the two groups.Respiratory Questionnaire(SGRQ) scores
blood gas index [partial pressure of oxygen(Pa O2)
oxygen saturation(Sa O2)
oxygenation index(Pa O2/Fi O2)] and quality of life were compared between groups before and after treatment.Results The total effective rate in the experimental group was 97.5%
which was higher than that in the control group(77.5%)
and the difference was statistically significant(P<0.05).The incidence of adverse reactions during treatment was 5.0% in the experimental group
lower than that in the control group(20.0%)
and the difference was statistically significant(P<0.05).After treatment
the scores of SGRQ in all dimensions and total scores of patients in the 2 groups decreased compared with pre-treatment
and the experimental group had lower scores than the control group
and the differences were statistically significant(P<0.05).The time to fever disappearance
cough relief time and hospitalization time were shorter in the experimental group than those in the control group
and the differences were statistically significant(P<0.05).After treatment
Pa O2
Sa O2 and Pa O2/Fi O2 levels raised compared with post-treatment
and the levels were higher in the experimental group than those in the control group
with statistically significant difference(P<0.05).After treatment
the quality of life scores of patients in both groups increased compared with pre-treatment
with the scores in the experimental group higher than those in the control group
and the difference was statistically significant(P<0.05).Conclusion The phentolamine in combination with posterior pituitary hormone is effective in the treatment of bronchiectasis
which can significantly reduce adverse effects
shorten the improvement time of symptoms
improve blood gas index and quality of life
and is worth promoting in clinical practice.
酚妥拉明垂体后叶素支气管扩张咳嗽时间
PhentolaminePosterior pituitary hormoneBronchiectasisCough duration
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