摘要
目的探讨纤维支气管镜(纤支镜)支气管肺泡灌洗(bronchoalceolarlavage,BAL)结合病灶局部给药治疗高龄呼吸机相关肺炎的疗效观察。方法将50例因呼吸衰竭进行机械通气治疗合并VAP的高龄患者随机分为对照组(综合治疗26例)和BAL组(BAL+病灶局部给药+综合治疗24例)。治疗后对肺部感染的临床症状、体征、外周血白细胞计数、痰细菌培养、肺部炎性病变吸收情况进行分析。结果BAL组临床治愈率(79.2%)较对照组(34.6%)明显提高(P<0.05),有效率(97.1%)明显大于对照组(73.1%)(P<0.05)。结论纤支镜经Swiveladapter接头套管导管进镜进行BAL并结合局部给药治疗老年高龄VAP为一种安全、方便、快捷、有效的治疗方法。
[Objective] To explore the therapy effect of bronchoalceo larlavage（BAL） by branchofiberoscope connected with local medication on elderly patients of respiratory failure combined with ventilation associated pneumonia（VAP）. [Methods] 50 patients of respiratory failure combined with （VAP） were randomly divided into control group （generalization therapy 26 patients） and BAL group （24 patients）. We studied the clinical symptom, sign, number of peripheral blood leucocytes, sputum bacteria cultivation, lung inflammation, conditions of the lung inflammation absorption after treatment. [Results] The curative rate in BAL group（79.2%） were increased significantly compared with the control group （34.6% ） （P 〈0.05）. The effective rate in BAL group（97.1%）was also higher than the control group （73.1%） （P 〈0.05）. [Conclusions] It was a safe, rapid, convenient and effective method to treat elderly VAP by branchofiberoscope through Swivel adapter model tube.
出处
《中国内镜杂志》
CSCD
北大核心
2006年第8期809-811,共3页
China Journal of Endoscopy
关键词
纤维支气管镜
支气管肺泡灌洗
呼吸衰竭
呼吸机相关肺炎
治疗效果
branchofiberoscope
bronchoalceo larlavage
respiratory failure
ventilation associated pneumonia
results of therapy
