外周血管介入治疗大咯血的疗效和安全性

Efficacy and safety of peripheral vascular interventional therapy for massive hemoptysis

目的分析外周血管介入治疗大咯血的疗效和安全性。方法选取2017年8月至2021年8月郑州市第三人民医院大咯血患者148例,按随机数字表法分为A组和B组,每组74例。B组采取常规治疗,A组采取外周血管介入治疗。对比两组疗效、不良反应及复发率。结果A组总有效率[97.30%(72/74)]较B组[85.14%(63/74)]高(P<0.05)。A组不良反应发生率[4.05%(3/74)]较B组[13.51%(10/74)]低(P<0.05)。A组复发率[2.70%(2/74)]较B组[16.22%(12/74)]低(P<0.05)。结论外周血管介入治疗大咯血患者具有良好临床效果和安全性,并可降低复发率,改善预后。

Objective To analyze the efficacy and safety of peripheral vascular intervention in the treatment of massive hemoptysis.Methods A total of 148 patients with massive hemoptysis in Zhengzhou Third People’s Hospital from August 2017 to August 2021 were selected.They were randomly divided into group A and group B,with 74 cases in each groups.Group B was treated with routine treatment and group A was treated with peripheral vascular intervention.The curative effects,adverse reactions and recurrence rates of the two groups were compared.Results The total effective rate of group A[97.30%(72/74)]was higher than that[85.14%(63/74)]in group B(P<0.05).The incidence of adverse reactions in group A[4.05%(3/74)]was lower than that[13.51%(10/74)]in group B(P<0.05).The recurrence rate of group A[2.70%(2/74)]was lower than that of group B[16.22%(12/74)](P<0.05).Conclusions Peripheral vascular interventional therapy for patients with massive hemoptysis has good clinical effect and safety,which can reduce the recurrence rate and improve the prognosis.