简介:摘要目的剖析小剂量罗红霉素治疗支气管扩张的效果。方法以奇偶数字分组的方式,对2015年9月至2016年11月本科接诊的46例支气管扩张病患进行分组研究组(n=23)联合应用小剂量罗红霉素和沐舒坦,对照组(n=23)单用沐舒坦。观察两组用药后咳痰量的变化情况,比较治疗效果。结果研究组连续用药6个月后的咳痰量为(27.14±8.91)ml/d,明显比对照组的(48.73±13.28)ml/d降低,组间差异显著(P<0.05)。研究组治疗的总有效率为91.3%,比对照组的60.87%显著升高,组间差异明显(P<0.05)。结论积极对支气管扩张病患施以小剂量罗红霉素治疗,有助于促进其临床症状的缓解,降低咳痰量,避免急性期加重,值得临床借鉴。
简介:摘要目的讨论自发性脑干出血配合脑室外引流、气管切开手术治疗的临床疗效.方法选择我院确诊为自发性脑干出血的60例患者进行临床资料的回顾分析,实验组与对照组各30例,实验组均行脑室外引流+气管切开手术治疗,对照组给予传统药物治疗.结果实验组患者存活12例,生存率40%;对照组患者存活5例,生存率16.7%,两组生存率、并发症发生率数据之间差异具有统计学意义(P<0.05).讨论对自发性脑干出血患者,采用脑室外引流结合气管切开手术疗法,患者的生存率明显提高,并发症情况显著改善,具有一定临床推广意义.关键词脑室外引流术;气管切开;自发性脑干出血Spontaneousbrainstemhemorrhage,clinicalvalueanalysisofoperationtreatmentandunderwentexternalventriculardrainageandincisionoftracheaAbstractObjectiveTodiscussthespontaneousbrainstemhemorrhagewithintraventricularexternaldrainage,tracheotomy,theclinicalefficacyoftreatment.Methodselect60patientsdiagnosedwithspontaneousbrainstemhemorrhageinourretrospectiveanalysisofclinicaldata,theexperiGmentalgroupandcontrolgroup30caseseach,theexperimentalgroupwereintraventricularexternaldrainagetreatment+tracheotomyandthecontrolgroupgivenconventionaldrugtreatment.Resultsthe12casesweresurvival,thesurvivalratewas40%;Controlgrouppatientssurvivein5cases,survivalratewas16.7%,thedifferencebetweentwogroupsofdatawithstatisticalsignificance(P<0.05).Discussioninpatientswithspontaneousbrainstemhemorrhage,USEStheintraventricularexternaldrainagecombinedwithtracheotomytherapy,thesurvivalrateofpatientswithobviouslyimprovKeedyawnodrdcsomplicationsweresignificantlyimproved,hasacertainclinicalsignificance.Outsidetheventricledrainage;Tracheaincision;Spontaneousbrainstemhemorrhage中图分类号R743.3文献标识码B文章编号1001-5302(2015)09-0727-02