目的

探讨呼吸康复在支气管扩张伴咯血患者经动脉栓塞止血术后的疗效。

方法

回顾性收集2022 年1 月至2023 年7 月于南京医科大学第一附属医院因支气管扩张伴咯血经动脉栓塞成功止血后，予以呼吸康复治疗的25 例患者的临床资料，分析患者术后咯血累积无复发率、6 个月呼吸困难程度和生活质量。其中呼吸困难程度采用改良版英国医学研究委员会呼吸困难（modified medical research council，mMRC）分级评估；生活质量则采用生活质量问卷（12-item short-form health survey questionnaire，SF-12）评估。

结果

所有患者中位年龄60 岁，女性占48%。13 例患者咯血病史＞6 个月。咯血程度包括轻度14 例（56%）和中度11 例（44%）。术后1、3、6 个月咯血累积无复发率分别为96%、88%、84%。mMRC 分级0 级18 例（72%）、Ⅰ级6 例（24%）、Ⅲ级1 例（4%）。21 例（84%）患者SF-12 评分生理健康（physical component summary scale，PCS）≥50 分，25 例（100%）患者心理健康（mental component summary scale，MCS）均＞50 分。

结论

经动脉栓塞对治疗支气管扩张伴咯血是有效的，呼吸康复对这类患者术后呼吸困难程度及生活质量均有改善作用。

Objective

To explore the efficacy of respiratory rehabilitation in patients with bronchiectasis-related hemoptysis after bronchial artery embolization （BAE） treatment.

Methods

From January 2022 to July 2023， the clinical data of 25 patients with bronchiectasis-related hemoptysis who underwent success BAE treatment and followed receiving respiratory rehabilitation treatment at the First Affiliated Hospital with Nanjing Medical University were collected retrospectively.The cumulative recurrence-free rate of hemoptysis， degree of dyspnea at 6 months and health-realated quality of life were analyzed.The degree of dyspnea was evaluated by modified Medical Research Council dyspnea （mMRC）classification； and health-realated quality of life （HRQOL） was assessed by 12-item short-form health survey questionnaire （SF-12）.

Results

The median age of all patients was 60 years old and female accounted for 48%.The history of hemoptysis in 13 patients was more than 6 months.The degree of hemoptysis included mild in 14 patients （56%） and moderate in 11 cases （44%）.The cumulative recurrence-free rate of hemoptysis at 1， 3， and 6 months after procedure were 96%， 88% and 84%， respectively.The mMRC classification were 18 （72%） in grade 0， 6 （24%） in grade I， and 1 （4%） in grade III， respectively.Twenty-one （84%） patients had SF-12 score with PCS＞50， while 25 （100%） patients had MCS＞50.

Conclusion

Transarterial embolization was effective in treating bronchiectasis-related hemoptysis.Respiratory rehabilitation could improve the degree of dyspnea and quality of life for these patients.