摘要
目的观察并探讨纤维支气管镜在重症肺炎治疗中的应用价值。方法将我院2013年1月至2015年7月收治的82例重症肺炎患者分为对照组(41例)与治疗组(41例)。对照组应用无菌吸痰管吸取呼吸道分泌物并接受常规综合治疗,治疗组在此基础上采用纤维支气管镜吸取呼吸道分泌物及支气管肺泡灌洗。评估两组疗效与血气指标改善情况。结果治疗总有效率为90.2%(37/41),对照组治疗总有效率仅为70.7%(29/41),治疗组治疗总有效率明显高于对照组,二者存在有统计学意义(P<0.05);治疗前两组血气指标无统计学意义(P>0.05);灌洗治疗后治疗组患者Pa O_2、Sp O_2、Pa CO_2有明显改善,与对照组相比差异有统计学意义(P<0.05)。结论重症肺炎各类治疗方法中,应用纤支镜吸痰及支气管肺泡灌洗取得满意的疗效,安全性较高,有利于改善患者血气指标与通气质量,值得临床推广应用。
Objective To observe and discuss the application value of fiber bronchoscopy in the treatment of severe pneumonia. Methods 82 cases of patients with severe pneumonia from January 2013 to July 2015 were divided into control group （41 cases） and treatment group （41 cases）. The control group used the aseptic suction tube from respiratory secretions and received routine treatment,the treatment group received airway secretions and bronchoalveolar lavage on the basis of the control group. The treatment effects and the improvement of blood gas indexes of the two groups were observed and statistically analyzed. Results The treatment total effective rate of treatment group twas 90. 2% （37 / 41 ）, control group was only 70. 7 % （29）, there was statistical significance （ P 〈 0. 05 ）. The blood gas indexes of the two groups before treatment had no statistical significance （ P 〉 0. 05 ） ; After treatment, the PaO2, SpO2 and PaCO2 of the treatment group improved significantly, better than the control group （P 〈 0. 05）. Conclusion In the treatment of severe pneumonia in all kinds of treatment methods and application of bronchoscopy suction sputum and bronchoalveolar lavage obtain satisfactory curative effect, high safety, is conducive to improve the indexes of blood gas analysis and ventilation quality, it is worth of clinical application.
出处
《辽宁医学杂志》
2016年第4期25-27,共3页
Medical Journal of Liaoning
关键词
重症肺炎
纤维支气管镜
肺泡灌洗
效果
Severe pneumonia
Bronchoscopy
Bronchoalveolar lavage
Effect
