摘要
目的:研究纤维支气管镜肺(以下简称纤支镜)泡灌洗联合有创机械辅助通气治疗老年性吸入性肺炎的临床疗效。方法:回顾性分析48例老年性吸入性肺炎患者,采用纤支镜肺泡灌洗联合机械通气治疗25例患者为观察组,仅给予常规有创机械通气治疗的23例患者为对照组;分析两组患者治疗前后的体温、呼吸频率、白细胞计数、肺部阴影消失时间与动脉血氧分压(Pa O2)、呼吸机使用时间、体温下降时间以及治疗的有效率的不同。结果:治疗后,观察组体温、呼吸频率、白细胞、肺部阴影消失时间及Pa O2时间的数据明显的优于对照组,观察组的治疗有效率高于对照组,具有差异性(P<0.05)。观察组总有效率为76.00%(19/25),对照组总有效率52.17%(12/23),两者差异具有统计学意义(P<0.05)。结论:纤支镜肺灌洗联合机械通气对老年性吸入性肺炎有较好的治疗效果,可降低死亡率。
Objective： To study the clinical effect of bronchoscopy alveolar lavage combined with invasive mechanical ventilation in the treatment of senile aspiration pneumonia. Methods： 48 cases of senile patients with aspiration pneumonia were retrospectively analyzed, the patients treated by the combination use of bronchoscopy alveolar lavage and invasive mechanical ventilations observation group（25 cases） and the others treated by only use of routine invasive mechanical ventilation as control group（23 cases）, the body temperature, breathing rate, white blood cell count, lung shadow disappeared time and arterial blood oxygen partial pressure（Pa O2）, breathing machine use time, hypothermia treatment time and effect of the patients were analyzed before and after treatment. Results： After treatment, the data of body temperature, breathing rate, white blood cells, lung shadow disappearance time and Pa O2 time of the observation group are obviously superior to that of the control group, and the treatment effectiveness of the observation group was obviously better than that the of control group, with a difference（P〈0.05）. The total effective rate of the observation group was 76.00%（19/25）, and that of the control group was 52.17%（12/23）,and the difference was statistically significant（P〈0.05）. Conclusion：Bronchoscopy alveolar lavage combined with mechanical ventilation has a good curative effect on in the treatment of senile aspiration pneumonia and can reduce mortality.
出处
《大众科技》
2018年第5期82-83,90,共3页
Popular Science & Technology
关键词
纤支镜
肺泡灌洗
老年吸入性肺炎
Bronchoscopy
alveolar lavage
senile aspiration pneumonia
