罗解萍　谢琛红　郑友法　朱钫芳　徐滢滢　蔡春轶浙江省绍兴第二医院呼吸内科，浙江绍兴　312000

云南白药加珍珠粉治疗60例支气管扩张咯血患者的临床观察及护理

罗解萍谢琛红▲郑友法朱钫芳徐滢滢蔡春轶
浙江省绍兴第二医院呼吸内科，浙江绍兴312000

目的观察云南白药加珍珠粉口服治疗支气管扩张并发咯血的临床疗效和对患者、临床护理工作的效果影响。方法选择2014年1月～2015年7月对60例支气管扩张并发咯血患者，应用云南白药加珍珠粉口服来代替氨甲苯酸加酚磺乙胺注射液静脉滴注治疗，并与2012年1月～2013年7月的60例应用氨甲苯酸加酚磺乙胺注射液止血治疗的患者进行回顾性对照研究。结果两组治疗方案在患者的住院天数、止血疗效方面比较差异无统计学意义（P＞0.05），但云南白药加珍珠粉口服在减少患者的静脉输液次数和天数，减轻病房护理工作量上差异有统计学意义（P均＜0.01）。结论云南白药加珍珠粉口服治疗支气管扩张并发咯血止血效果肯定，由于减少了总的静脉输液次数、量和天数，增加了患者的舒适感，降低了输液微粒污染对人体的危害风险，同时也大大减轻了病区的治疗工作量。

支气管扩张咯血；云南白药；珍珠粉；护理

［Abstract］Objective To observe the c1inica1 effect of Yunnan Baiyao p1us pear1 powder ora11y administration in treatment of 60 cases of branchiectasis with hemoptysis and its inf1uence on patients and the outcome of c1inica1 practice. Methods 60 patients with branchiectasis with hemoptysis treated in our hospita1 from January 2014 to Ju1y 2015 were se1ected and ora11y given Yunnan Baiyao p1us pear1 powder instead of intravenous drip of aminomethy1benzoic acid p1us etamsy1ate injection.The resu1ts were compared with those of another 60 patients treated by aminomethy1benzoic acid p1us etamsy1ate injection from January 2012 to Ju1y 2013 for retrospective contro1 study.Results There was no significant difference in hospita1 stay and hemostatic effect between two groups（P＞0.05）.However，Yunnan Baiyao p1us pear1 powder had significant advantages in reducing times and days of venous infusion and 1ightening the nursing work1oad （P a11＜0.01）.Conclusion Yunnan Baiyao p1us pear1 powder ora11y administration has definite effect on branchiectasis with hemoptysis，and can reduce the times and days of venous infusion，improve comfortab1e fee1ing of patients，reduce risk of infusion partic1e po11ution，and 1ighten the nursing work1oad.

［Key words］Branchiectasis with hemoptysis；Yunnan Baiyao；Pear1 powder；C1inica1 observation；Nursing

咯血是支气管扩张常见的症状之一，是指喉以下呼吸道或肺组织的出血经口腔咯出，其中24 h咯血量＜100 mL称为小量咯血，100～500 mL称为中等量咯血，500 mL以上为大咯血［1，2］。既往我科临床咯血的常规治疗为静脉滴注氨甲苯酸加酚磺乙胺注射液，出血较多者加立止血针（注射用血凝酶）静脉注射，严重者用垂体后叶素注射液稀释后微泵推注。……