临床荟萃

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长疗程抗生素联合雾化吸入在良性气管狭窄呼吸内镜治疗中的作用

  

  1. 1.广西医科大学第二附属医院 呼吸内科,广西 南宁,530007;2.百色迎龙医院 呼吸内科 广西 百色,533000;
    3.青海大学医学院,青海 西宁,810016
  • 出版日期:2017-04-05 发布日期:2017-03-31
  • 通讯作者: 通信作者:柳广南,Email:gnliu63@hotmail.com

Effect of longterm antibiotics combined with inhalation therapy in treatment of benign tracheal stenosis after bronchoscopic interventional therapy

  1. 1.Department of Respiratory Medicine, the Second Affiliated Hospital of Guangxi Medical University,
    Nanning 530007, China; 2. Department of Respiratory Medicine, Baise Yinglong Hospital,
    Baise 533000,China; 3.Department of Respiratory Medicine,the Medical College of
    Qinghai University, Xining 810016,China
  • Online:2017-04-05 Published:2017-03-31
  • Contact: Corresponding author:Liu Guangnan, Email: gnliu63@ hotmail.com

摘要: 目的探讨呼吸内镜介入治疗后,长疗程静脉用抗生素联合雾化吸入治疗良性气管狭窄的长期疗效。方法回顾性分析因不同病因致良性气管狭窄,并经呼吸内镜介入治疗术后,抗生素治疗时间≥1个月,同时雾化吸入阿米卡星和布地奈德悬液治疗6个月的67例患者的临床资料。测量呼吸内镜介入治疗术前后狭窄段气管的内径、气促评分;评价近期及6个月后治疗效果和并发症的发生情况。结果呼吸内镜介入治疗后,狭窄段气管内径由(3.82±0.91)  mm增加到(12.16±1.57)  mm;气促指数由(3.45±0.63)降低到(0.52±0.50),差异均有统计学意义(P<0.05),术后近期治疗疗效为100%;经静脉用抗生素治疗1个月,同时雾化吸入阿米卡星和布地奈德悬液6个月内的气管通畅率94.02%。二重感染等并发症均未出现。结论良性气管狭窄呼吸内镜介入术后长疗程静脉用抗生素联合雾化吸入治疗可提高长期疗效。

关键词: 气管狭窄, 支气管镜检查, 抗菌药

Abstract: ObjectiveTo evaluate the efficacy of longterm antibiotics combined with inhalation therapy in the treatment of patients with benign tracheal stenosis after bronchoscopic interventional therapy. MethodsRetrospective analysis was performed in the clinical data of 67 cases of benign tracheal stenosis treated with longterm antibiotics (more than 1 month)combined with inhalation of budesonide and amikacin for six months after bronchoscopic interventional therapy. The tracheal diameter and dyspnea index were evaluated before and after bronchoscopic interventional therapy. And initial cure rate and cure rate after six months and complications were evaluated. ResultsAfter bronchoscopic interventional therapy, the tracheal diameter significantly increased from (3.82±0.91) mm to (12.16±1.57) mm(P<0.05), and the dyspnea index significantly decreased from (3.45±0.63) to (0.52±0.50)(P<0.05). After bronchoscopic interventional therapy, the initial cure rate was 100%. After intravenous antibiotic therapy for one month, combined with inhalation of amikacin and budesonide suspension for six months, the unblocked rate of tracheal was 94.02%. No complications such as double infection happened. ConclusionAfter the bronchoscopic interventional therapy, longterm intravenous antibiotic therapy combined with  inhalation therapy in benign tracheal stenosis can improve longterm  efficacy.

Key words: tracheal stenosis;bronchoscopy;antibacterial , agents