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垂体后叶素治疗肺结核咯血患者的临床疗效观察及护理(1)
http://www.100md.com 2019年6月5日 《中国实用医药》 2019年第16期
     【摘要】 目的 观察垂体后叶素治疗肺结核咯血患者的临床疗效及其护理方法。方法 70例肺结核咯血患者, 根据护理方法不同分为常规组和研究组, 每组35例。两组患者均行常规对症支持及垂体后叶素治疗, 常规组施予常规护理, 研究组施予综合性护理。对比两组治疗及护理效果、咯血停止时间、不良反应发生情况及满意度。结果 研究组患者的咯血停止时间(1.41±0.65)d短于常规组的(2.96±0.84)d, 不良反应发生率5.71%低于常规组的28.57%, 总有效率94.29%高于常规组的74.29%, 总满意度94.29%高于常规组的71.43%, 差异具有统计学意义(P<0.05)。结论 垂体后叶素治疗肺结核咯血患者的同时给予患者综合性护理的效果显著, 可推广。

    【关键词】 垂体后叶素;肺结核咯血;临床疗效;护理;咯血停止时间;治疗

    DOI:10.14163/j.cnki.11-5547/r.2019.16.082

    Clinical observation and nursing of pituitrin in the treatment of patients with pulmonary tuberculosis hemoptysis YU Qi-xin. Department Two of Tuberculosis, Liaocheng Infectious Disease Hospital, Liaocheng 252000, China

    【Abstract】 Objective To observe the clinical efficacy and nursing methods of pituitrin in the treatment of patients with pulmonary tuberculosis hemoptysis. Methods A total of 70 patients with pulmonary tuberculosis hemoptysis were divided by different nursing methods in to conventional group and research group, with

    35 cases in each group. Both groups received routine symptomatic support and pituitrin treatment, and conventional group received conventional nursing. Research group received comprehensive nursing. Comparison were made on treatment and nursing effect, hemoptysis stop time, occurrence of adverse reactions and satisfaction degree between the two groups. Results The research group had significantly shorter hemoptysis stop time as (1.41±

    0.65) d than (2.96±0.84) d in conventional group, lower incidence of adverse reactions as 5.71%, than 28.57% in conventional group, higher total effective rate as 94.29% than 74.29% in conventional group, and higher total satisfaction degree as 94.29% than 71.43% in conventional group. Their difference was statistically significant (P<0.05). Conclusion Pituitrin and comprehensive nursing shows remarkable effect in treating patients with pulmonary tuberculosis hemoptysis, and it can be promoted.

    【Key words】 Pituitrin; Pulmonary tuberculosis hemoptysis; Clinical efficacy; Nursing; Hemoptysis stop time; Treatment

    肺结核是临床较为常见的一种呼吸道慢性病变, 咯血是肺结核患者发病期间最为常见的一种并发症, 对其的干预若不及时, 极易发生窒息或休克, 最终威胁患者的生命[1]。垂体后叶素是临床治疗肺结核咯血的有效止血药物, 但为进一步提升治疗疗效, 在治疗过程中还应选择一种切实可行的护理措施[2]。本文主要研究垂体后叶素治療肺结核咯血患者的临床疗效及其护理方法, 并报告如下。

    1 资料与方法

    1. 1 一般资料 选取2017年8月~2018年8月本院接收并诊治的肺结核咯血患者70例作为研究对象, 根据护理方法不同分为常规组和研究组, 每组35例。常规组患者中, 男19例, 女16例;年龄26~73岁, 平均年龄(55.61±9.87)岁。研究组患者中, 男20例, 女15例;年龄27~72岁, 平均年龄(55.03±9.35)岁。两组患者的一般资料比较, 差异无统计学意义(P>0.05), 具有可比性。, http://www.100md.com(于琪新)
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