代秀萍

[摘要]目的 探讨对临床确诊为支气管结核病的患者采用纤支镜导管介入给药的方式治疗的临床疗效。方法 随机选取2013年4月—2014年6月因患有支气管结核于该所住院部采用纤支镜导管介入给药进行治疗的30例患者为观察组，同期采用单纯药物治疗的30例患者为对照组，对比两组患者的治疗效果。结果 在两组患者的治疗过程中，观察组患者的治疗的总有效率明显优于对照组，差异有统计学意义（P<0.05），在疾病的转归方面，两组患者在治疗前后的肺不张出现率方面无明显差异，差异无统计学意义（P>0.05），但是在治疗后肺不张的改善情况的比较中，观察组具有明显优势，差异有统计学意义（P<0.05）；在致病菌的研究方面，两组患者在治疗前和治疗后2周的比较中，转阴率无明显差异，差异无统计学意义（P>0.05）；观察组患者在治疗1个疗程后的转阴率明显优于对照组，差异有统计学意义（P<0.05）。结论 因采用纤支镜导管介入给药的过程中，疗效明显，致病菌的转阴情况具有明显优势，同时对病情的控制效果客观，值得在临床上推广。

[关键词]纤支镜导管；介入给药；支气管结合病；临床护理

[中图分类号]R521 [文献标识码]A [文章编号]1674-0742（2015）04（b）-0139-03

Observation of the Clinical Nursing for Bronchial Tuberculosis Treated by Bronchofiberscope Interventional Administration

DAI Xiuping

Anti-tuberculosis Department， Xiaogan Institute for Tuberculosis Prevention and Treatment， Xiaogan， Hubei Province， 432000 China

[Abstract]Objective To concentratedly investigate the clinical effect of bronchofiberscope interventional administration on patients diagnosed with bronchial tuberculosis confirmedly. Methods 30 cases with bronchial tuberculosis treated by bronchofiberscope interventional administration and other 30 cases with bronchial tuberculosis treated by simple medication in our hospital from April 2013 to June 2014 were selected as the observation group and the control group. And the treatment effect was compared between the two groups. Results During the treatment， the overall response rate of the observation group was much higher than that of the control group， the difference was statistically significant difference（P<0.05）. Before treatment， there was no obvious difference in the incidence of atelectasis between the two groups（P>0.05）， but after treatment， compared with the control group， the improvement of atelectasis in the observation group was much better with statistically significant difference（P<0.05）. In the study of pathogenic bacteria， before treatment and 2 weeks after treatment， there was no obvious difference in the rate of patients whose outcome turns to negative between the two groups， with no statistically significant difference（P>0.05）； the observation group was significantly better than the control group in the negative conversion rate after 1 course of treatment， with statistically significant difference（P<0.05）. Conclusion Bronchofiberscope interventional administration is worth promoting in clinical practice because it has obvious advantages on the negative conversion situation of pathogenic bacteria and can control illness condition well.

[Key words]Bronchofiberscope； Interventional administration； Bronchial tuberculosis； Clinical nursing

支气管结核的主要病理学表现为气管及其分支的粘膜及其以下部位受损，导致支气管的正常功能遭受破坏，影响患者正常的生活，给患者造成了极大的痛苦[1]。临床上通常采用抗结核药物联合治疗和纤支镜导管介入给药的方式进行治疗，该次实验就两种方法的疗效进行对比分析，现报道如下。

1 资料与方法

1.1 一般资料

随机选取2013年4月—2014年6月经临床确诊为支气管结核并于该所住院部进行治疗的患者60例，回顾性分析患者的临床资料，对照组患者中，男性18例，女性12例，年龄20～64岁，平均年龄（36.8±6.5）岁；病程6～14个月，平均病程（8.2±4.4）个月；肺不张或肺结核患者12例，痰液细菌检查阳性患者17例；观察组患者中，男性 16例，女性 14例，年龄22～68岁，平均年龄（37.2±7.2）岁；……