摘要
目的：观察支气管镜肺泡灌洗对老年脑卒中并重度肺炎患者的治疗效果．方法本组共收集患者168例，根据治疗情况分为支气管镜治疗组（110例）和常规治疗组（58例），常规治疗组给予常规治疗和按需吸痰管吸痰．支气管镜治疗组在常规治疗和按需吸痰管吸痰基础上每周行1-2次支气管镜下吸痰并用适当稀释的敏感抗生素局部行支气管肺泡灌洗．结果支气管镜治疗后，PaO2增加，呼吸频率（RR）、心率（HR）和PaCO2降低（P〈0.05）．支气管镜治疗与常规治疗比较，PaO2改善；RR、HR和PaCO2降低（P〈0.05）；胸片炎症吸收时间缩短和患者死亡率降低（P〈0.05）．结论老年脑卒中并重症肺炎患者在常规治疗和按需吸痰管吸痰基础上应用支气管镜肺泡灌洗，对肺部感染的控制及呼吸功能的改善可能具有积极作用．
Objective To discuss the treatment efficacy of washing pulmonary alveoli with the bronchoscopy in treatment of stroke with severe pneumonia in elderly patients. Methods 168 patients were collected in the study, they were divided into treatment group with bronchoscopy （110 cases） and treatment group with conventional method （58cases） . patients in the treatment group with bronchoscopy were given conventional therapy and suctioning sputum with suction tube, at the same time, the suctioning sputum and diluted with the appropriate antibiotic-sensitive local bronchoalveolar lavage were applied 1-2 times per week. Results PaO2 was higher after bronchoscopic therapy. In addition,PaCO2 （ P〈0.05）, respiratory rate （RR） and heart rate （HR） was lower after treatment （P〈0.05） . Compared with treatment group with conventional method,PaO2 was improved,the RR and HR was lower in the treatment group with bronchoscopy （ P〈0.05） . Furthermore, the absorptive time of inflammation by Chest film and the death rate was reduced （ P〈0.05） . Conclusion For elderly patients with stroke with severe pneumonia,washing pulmonary alveoli with the bronchoscopy may possess positive roles to control lung infection and to improve respiratory function in the basis of conventional therapy and suctioning sputum with suction tube.
出处
《昆明医科大学学报》
CAS
2014年第2期83-85,共3页
Journal of Kunming Medical University
基金
昆明市卫生局科研基金资助项目(2012-07)
