Nebulised therapy in preventive maintenance of bronchial stumpinsufficiency after pneumonectomy
Abstract
Using for preventive maintenance COPD nebulised therapy (NT) promotes the high local activity of inhalated remedies. <b>Material and Methods:</b> The interesting results were received at study of the influence accompanying pathology on frequency of development BSI after PE. The frequent diseases were COPD and heart-vascular pathology. So from 434 patients in 227 (52,3%) accompanying COPD was revealled, on background which after PE in 39 (17,1%) patients was noted development of BSI. In turn, amongst 207 (47,7%) patients without accompanying COPD this complication was noted only in 2,8% of the cases. That is to say, presence of COPD raised the risk of the development BSI more then in 6 once. <b>Results:</b> Introduction NT has allowed in the main group to reduce the risk of the intensification COPD to 16,1% after PE on the left and 17,2% after PE on the right, and frequency of the development of BSI on background accompanying COPD decreased to 3,2% and 6,9% accordingly. In the main group accompanying COPD was revealled in 60 patients (61,2%), activation after operation was noted in 10 (16,7%) patients, but development of BSI only in 3 patients, that has formed 5,0%. <b>Conclusions:</b> The results of the treatment have proved perspective using NT, it was noted more quick regression of clinic-X-ray manifestations, reduction of amount discharged sputum and more quick normalization of temperature. Using NT for preventive maintenance COPD promotes not only reliable improvement of the factors of breathing frequency (P<0,002) and functional respiratory tests (P<0,001), but also reduction of the frequency of the intensification of obstructive syndrome from 52,3% to 16,7%.