摘要
目的：研究纤维支气管镜在老年吸入性肺炎治疗中的临床应用价值。方法：将164例老年吸入性肺炎患者随机分为观察组和对照组各82例，均给予呼吸内科常规治疗，观察组加用纤维支气管镜吸痰及支气管肺泡灌洗，观察吸痰前后动脉血气、心率及呼吸频率的变化，对照组给予普通吸痰管吸痰，比较两组临床疗效的差异。结果：纤维支气管镜治疗后观察组动脉血气、心率及呼吸频率均明显改善（P〈0．05）；观察组总有效率92．7％，与对照组70．7％比较，差异有统计学意义（P〈0．05）。结论：纤维支气管镜吸痰及支气管肺泡灌洗治疗老年吸入性肺炎，临床疗效明显优于常规治疗，且安全性高，值得在临床中推广应用。
OBJECTIVE： To study the value of the clinical application of fibrobronchoscope in the elderly patients with aspiration pneumonia. METHODS： 164 aged people with aspiration pneumonia were randomly divided into trial group （n = 84） and control group （ n = 84） and tley all received the respiratory medicine conventional treatment. The trial group was added to use fibrobroncho- scope aspirate sputum and bronchofibroscope lavage. The control group was given ventilation sputum - aspirating. The changes of arte- rial blood gas, heart rate and respiraion rate before and after sputum aspiration were compared in the two groups. RESULTS： Arterial blood gas, heart rate and respiraion rate of the trial group were improved significantly after using fibrobronchoscope （ P 〈 0. 05 ） ; The total effective rate of control group was 70. 7% and the trial group was 92. 7%. There was statistical difference （P 〈 0. 05 ）. CONCLUSION： The old patients with aspiration pneumonia are treated by fibrobronchoscope aspirate sputum and bronchofibroscope effectivly. They have better clinical effect than that of the routine therapy.
出处
《国际老年医学杂志》
2013年第4期164-167,共4页
International Journal of Geriatrics
