经纤支镜导管介入治疗耐药肺结核空洞临床观察及护理

目的:探讨抗痨凝胶介入治疗耐药肺结核空洞的临床疗效。方法:将98例耐药肺结核空洞患者随机分为经纤支镜导管介入治疗+化学治疗52例为治疗组,单纯化学治疗46例为对照组,两组在性别、年龄、结核耐药性方面无显著性差异。结果:治疗组痰菌阴转率96.2%,空洞闭合率41.7%,结核病灶吸收显效率96.2%。对照组痰菌阴转率54.3%,空洞闭合率56.5%,结核病灶吸收显效率9.8%,治疗组明显优于对照组(P<0.05)。结论:经纤支镜导管介入治疗耐药肺结核空洞,疗效显著,无明显并发症及毒副作用。术前做好心理护理,术后观察不良反应及并发症的发生,并针对性护理是治愈的关键。

Clinical observation and nursing on drug-resistant cavernous TB by the int erventional treatment via fiberbrochoscope.

Objective: To discuss the clinical effectiveness of antiphthis ic gel in the interventional treatment of drug-resistant cavernous TB. Methods: 98 patients with drug-resistant cavernous TB were randomly divided into treated gr oup (52 patients, intervention plus drug therapy) and control group (46 patients , simple drug therapy). No significant difference was found in sex, age and drug -resistance between the two groups. Results: Negative rate of sputum exam of tub ercle bacillus was 96.2%, closure rate 56.5%, healing of focus 9.8% in treated g roup and were 54.3%, 56.5%, 9.8% respectively in control group (P<0.05 ). Conclusion: Remarkable effectiveness was gained in the treatment of drug-re sistant cavernous TB by antiphthisic gel via fiberbrochoscope. No evident compli cation and side-effects. Pre-psychonursing and proper postoperative nursing have to be paid.