论文部分内容阅读
目的:分析酚妥拉明与卡络磺钠联合用于支气管扩张伴咯血的效果。方法:应用随机数字表法将2018年3月至2019年11月鹤壁市人民医院确诊并接受治疗支气管扩张伴咯血的80例老年患者分为观察组与对照组,每组40例。观察组患者联合使用酚妥拉明与卡络磺钠,对照组给予垂体后叶素+卡络磺钠治疗,均治疗7 d。比较两组咯血治疗效果;治疗前、治疗7 d,分别检测并比较两组的肺功能,记录两组症状缓解时间并比较,记录两组不良反应。结果:观察组咯血消失时间、咯血量低于对照组(n P0.05);治疗7 d,两组肺功能指标水平高于治疗前,观察组各指标水平高于对照组(n P<0.05);观察组退热、咳嗽咳痰和湿啰音消失的时间均短于对照组(n P<0.05);观察组治疗期间不良反应发生率低于对照组(n P<0.05)。n 结论:酚妥拉明联合卡络磺钠用于支气管扩张伴咯血老年患者的治疗可缩短咯血时间、减少咯血量,症状缓解更快,利于患者肺功能恢复,且安全性高。“,”Objective:To analyze effect of phentolamine combined with sodium sulfa sodium in the treatment of bronchiectasis with hemoptysis.Methods:A total of 80 elderly patients with bronchiectasis and hemoptysis who were diagnosed and treated in Hebi People’s Hospital from March 2018 to November 2019 were divided into the observation group cases and control group according to the random number table method, with 40 cases in each group. The observation group was treated with phentolamine combined with sodium sulfasulfate, and the control group was given posterior pituitary combined with sodium sulfasulfate. They all treated for 7 days. The effects of hemoptysis treatment in the two groups were compared; lung function such as forced expiratory volume in one second (FEV1), FEV1/forced vital capacity (FVC), maximum expiratory flow (PEF) before and 7 days after treatment of the two groups was measured, the symptom relief time of the two groups was recorded and compared, and the occurrence of adverse reactions between the two groups was observed and recorded during treatment.Results:The hemoptysis disappearance time of the observation group was shorter than that of the control group, and the amount of hemoptysis was less than that of the control group (n P0.05); after 7 days of treatment, the levels of lung function indexes in the two groups were higher than those before treatment, and the levels of each index in the observation group were higher than those in the control group (n P<0.05); the time of fever reduction, cough and sputum disappearance, and wet rales disappearance in the observation group were shorter than those in the control group (n P<0.05); the incidence of adverse reactions in the observation group was lower than that in the control group (n P<0.05).n Conclusions:Phentolamine combined with sodium oxasulfone in the treatment of bronchiectasis with hemoptysis in the elderly can shorten the time and volume of hemoptysis. The main symptoms of the patient are faster, and it is conducive to the recovery of lung function. Moreover, it has few adverse reactions during the treatment and has high safety.