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目的研究应用体外反搏技术,观察对结核性包裹性胸腔积液患者包裹范围大小、积液的体积以及胸膜肥厚程度的影响。方法选择包裹性胸腔积液患者200例,随机分为对照组及应用组,对照组给予正规抗结核治疗。应用组在正规抗结核治疗基础上加用体外反搏。两组患者均在体外反搏治疗前,疗程结束时及结束后30d,分别行胸部平片、B型超声及胸部CT检查,观察包裹积液范围大小、积液的体积以及胸膜肥厚程度的变化,计数资料用χ2检验,计量资料用t检验,对结果进行统计学分析。结果应用组:治愈19例,有效65例,总有效率84%。对照组:治愈7例,有效59例,总有效率66%。两组间有高度显著性差异P<0.01。结论体外反搏通过提高舒张期主动脉内舒张压,提高对多脏器的血液灌注,加快肺部及胸膜的血液循环。对结核性包裹性胸腔积液患者,能有效促进包裹中的液体吸收,减少其胸膜的肥厚、粘连、钙化,有肯定的效果。
Objective To study the use of extracorporeal counterpulsation technique to observe the extent of parcel size, fluid volume and pleural hypertrophy in patients with tuberculous pleural effusion. Methods 200 patients with encapsulated pleural effusion were randomly divided into control group and application group, and control group received regular anti-TB treatment. Application group in the formal anti-TB treatment based on the use of external counterpulsation. Two groups of patients before and after EECP treatment, the end of the treatment and the end of 30d, respectively, plain film, B-mode ultrasound and chest CT examination to observe the size of the package fluid volume, effusion volume and pleural thickening changes , Count data using χ2 test, measurement data using t test, the results were statistically analyzed. Results Application group: 19 cases were cured, 65 cases were effective, the total effective rate was 84%. Control group: cured in 7 cases, effective in 59 cases, the total effective rate of 66%. There was a highly significant difference between the two groups P <0.01. Conclusion Extracorporeal counterpulsation increases blood perfusion in multiple organs and accelerates blood circulation in the lungs and pleura by increasing diastolic pressure in diastolic aorta. For patients with tuberculous pleural effusion can effectively promote the absorption of liquid in the package to reduce the pleural thickening, adhesions, calcification, with a positive effect.