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目的:观察微量输液泵在肺结核大咯患者中的应用疗效,为临床治疗提供依据。方法:回顾性分析自2010年2月至2016年2月于河北大学附属医院结核科住院的肺结核-大咯血患者267例,依据:是否应用微量输液泵止血治疗,分为:应用微量泵的观察组和未应用微量泵的对照组;其中观察组136例,对照组131例。两组均给予正规大咯血护理及健康指导,且给予抗痨、抗炎等治疗;在无绝对禁忌症时,依据病人具体情况,给予脑垂体后叶素或普鲁卡因及白眉蛇毒血凝眉等止血治疗。其中观察组:止血药物应用微量输液泵持续泵入;对照组常规静脉给药。观察止血效果及药物不良反应发生情况。结果:观察组显效率及总有效率均高于对照组(P<0.05);不良反应发生率明显低于对照组;平均住院天数研究组低于对照组,住院费用研究组低于对照组,差异明显,有统计学意义。结论:肺结核-大咯血作为结核急危重症,及时应用微量输液泵止血治疗对提高治疗效果、减少医疗负担是有意义的;并且安全性高、不良反应少,值得临床推广。
OBJECTIVE: To observe the curative effect of micro infusion pump in the tuberculosis patients with large pyknosis and provide basis for clinical treatment. Methods: A retrospective analysis of 267 cases of pulmonary tuberculosis-hemoptysis hospitalized in Department of Tuberculosis and Tuberculosis, Affiliated Hospital of Hebei University from February 2010 to February 2016 was conducted based on whether the application of micro infusion pump to stop bleeding was divided into: Group and the control group which did not use the micropump. Among them, 136 cases in the observation group and 131 cases in the control group. Both groups were given regular hemoptysis care and health guidance, and given anti-tuberculosis, anti-inflammatory treatment; in the absence of absolute contraindications, according to the specific circumstances of patients, given pituitrin or procaine and white eyebrow venom blood coagulation Eyebrow and other hemostatic treatment. Among them, the observation group: the hemostatic drugs were continuously pumped by the micro infusion pump; the control group was given conventional intravenous administration. Hemostatic effect and adverse drug reactions were observed. Results: The effective rate and total effective rate in the observation group were significantly higher than those in the control group (P <0.05). The incidence of adverse reactions was significantly lower in the observation group than in the control group. The average length of stay in the study group was lower than that in the control group, Significant difference was statistically significant. Conclusion: Tuberculosis - massive hemoptysis is an acute and severe TB disease. It is significant to timely apply the micro infusion pump to stop bleeding to improve the therapeutic effect and reduce the medical burden. It is also safe and has few adverse reactions and is worthy of clinical promotion.