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重症肺部感染行纤维支气管镜肺泡灌洗术的临床效果观察 被引量:21

Clinical observation on fiber endoscope bronchoscopy bronchoalveolar lavage for severe pulmonary infection
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摘要 目的探讨临床治疗重症肺部感染患者的有效方法,以为重症肺部感染患者的临床治疗和相关研究提供参考。方法本研究所选取的重症肺部感染患者共计128例,均为本院2009年1月~2012年12年收治的患者,将患者随机分为观察组和对照组,每组各64例,对照组患者实施常规抗感染、化痰、营养支持等治疗,观察组患者在此基础上行纤维支气管镜肺泡灌洗术治疗。观察比较两组患者实施不同治疗方法后的症状改善情况、住院时间以及临床治疗效果。结果观察组患者实施治疗后,咳痰、咳嗽消失时间及发热缓解时间和住院时间等均显著短于对照组,差异有统计学意义(P〈0.05);观察组患者的总有效率显著高于对照组,差异有统计学意义(X2=6.9351,P=0.0085)。结论采用纤维支气管镜肺泡灌洗术治疗重症肺部感染的临床效果显著,与传统治疗方法相比,患者的症状改善更明显,疗效更显著。 Objective To explore the effective method for the treatment of severe pulmonary infection,in order to take the reference for the clinical treatment and relative researching of severe pulmonary infection patients.Methods 128 cases of severe pulmonary infection patients were selected in our hospital from January 2009 to December 2012,they were randomly divided into the observation group and control group,each group had 64 cases.The control group was giv- en the general treatments of anti-infection,phlegm-removing and nutritional support.The observation group was given fiber endoscope bronchoseopy bronehoalveolar lavage based on the treatments of the control group.The improvement of the symptoms,length of stay and clinical therapeutic effect after treatment were compared between the two groups.Re- suits After the treatment,the time of disappearing expectoration and cough,the time of fever release and length of stay in the observation group were all significantly shorter than those in the control group (P〈0.05).The total effective rate in the observation group was significantly higher than that in the control group (X 2=6.9351,P=0.0085).Conelusion The treatment of fiber endoscope bronchoscopy bronchoalveolar lavage for severe pulmonary infection patients has the better improve- ment of the symptoms and better clinical effect compared to the traditional treatments.
出处 《中国当代医药》 2014年第7期40-41,44,共3页 China Modern Medicine
关键词 重症肺部感染 纤维支气管镜肺泡灌洗术 临床效果 Severe pulmonary infection Fiber endoscope bronchoscopy bronchoalveolar lavage Clinical effect.
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