摘要
目的探析床旁纤维支气管镜治疗危重患者急性肺不张的应用价值。方法选取120例危重患者伴急性肺不张，进行分组研究；对照组患者接受常规的治疗；而治疗组患者在对照组治疗的基础上，应用床旁纤维支气管镜治疗。结果治疗组患者治疗后的心率（HR）、呼吸频率（RR）、PaO2、SpO2、PaCO2改善程度优于对照组患者（t=4．39、3．75、3．22、4．58、3．96，P值均〈0．01）；治疗组患者的治疗总有效率为88．33％，对照组患者的治疗总有效率为68．33％；两组差异有统计学意义（x2=83．30，P〈O．05）。结论床旁纤维支气管镜治疗危重患者伴急性肺不张可显著改善患者的生命体征及血气评价指标，提高肺不张患者的治疗效果。
Objective To explore clinical effect of portable flexible fiberoptic bronchoscopy on critical patients with acute atelectasis. Methods A total of 120 cases of critical patients with acute atelectasis were selected and randomly divided into control group and treatment group. The control group patients were implemented conventional treatment, while the treatment group patients were treated through portable flexible fiberoptic bronchoscopy on the basis of conventional therapy. Results The improve effects on （heart rate, HR）, （respiratory rate, RR）, （partial pressure of arterial O2, PaO2 ）, （hemoglobin oxygen saturation, SpO2 ） and （partial pressure of arterial CO2, PaCO2 ） in the treatment group were much better than those in the control （ t =4.39,3.75,3.22,4.58,3.96,all P 〈0.01）. The effective rate in the treatment group was 88.33% and was 68.33% in the control. The difference had statistical significance （ x2 =83.30, P 〈0.05）. Conclusions For critical patients with acute atelectasis, the bedside therapy of portable flexible fiberoptic bronchoscopy can significantly improve their vital signs, blood gas index and therapeutic effect.
出处
《国际呼吸杂志》
2015年第21期1641-1644,共4页
International Journal of Respiration
