摘要
[目的]观察支气管肺泡灌洗术(BAL)治疗时机对老年慢性阻塞性肺疾病(COPD)合并重症肺部感染患者影像学恢复的影响.[方法]选择2017年1月-2019年1月间诊断为COPD合并重症肺部感染的72例老年患者,根据行BAL时的病程分为A组(≤10 d,25例)、B组(10~20 d,27例)和C组(>21 d,20例),观察各组术后7 d、1个月时的影像学恢复情况并进行比较分析.[结果]3组术后7 d时的胸部X片浸润影恢复情况比较结果显示,Kruskal-Wallis H′检验:χ2=39.542,P=0.000,提示3组术后7 d时的胸部X片浸润影恢复情况间差异有统计学意义.进一步行组间两两比较结果显示,PAB=0.026,PAC=0.000,PBC=0.105,提示3组患者术后7 d时的胸部X片浸润影恢复情况中A组优于B组和C组,B组与C组间差异无统计学意义.3组术后1个月时的胸部X片恢复情况比较结果显示,χ2=57.717,P=0.000,差异有统计学意义.进一步行组间两两比较结果显示,PAB=0.01,PAC=0.000,PBC=0.003,提示3组术后1个月时的胸部X片恢复情况中A组优于B组和C组,B组优于C组.[结论]给予老年COPD合并重症肺部感染患者行早期BAL治疗有助于减轻病情,促进影像学恢复.
OBJECTIVE To observe the effects of bronchoalveolar lavage(BAL)timing on the imaging recovery of 72 elderly patients with chronic obstructive pulmonary disease(COPD)complicated with severe pulmonary infection.METHODS 72 elderly patients diagnosed with COPD and severe pulmonary infection between January 2017 and January 2019 were selected.According to the course of BAL,they were divided into group A(≤10 d,25 cases),group B(10-20 d,27 cases),and group C(>21 d,20 cases).The imaging recovery of each group at 7 days and 1 month after surgery were observed and compared.RESULTS The recovery of chest radiograph infiltration at 7 days after surgery was compared among the 3 groups:Kruskal-Wallis H test:χ2=39.542,P=0.000,it suggested that there was a statistically significant difference.Further pairwise comparisons between groups was shown,PAB=0.026,PAC=0.000,PBC=0.105,it suggested that the recovery of chest radiograph infiltration at 7 days after surgery in group A was better than that in group B and group C,there was no significant difference between group B and group C.Chest radiograph recovery at 1 month after surgery was compared among 3 groups,Kruskal-Wallis H test:χ2=57.717,P=0.000,the differences were statistically significant.Further pairwise comparison between groups was shown,PAB=0.01,PAC=0.000,PBC=0.003,it suggested that the recovery of chest radiograph infiltration at 1 month after surgery in group A was better than that in group B and group C,and group B was superior to group C.CONCLUSION Early BAL treatment in elderly patients with COPD combined with severe pulmonary infection could help alleviate the disease and promote imaging recovery.
作者
高玉明
苑波
李明涛
金恩鸿
GAO Yuming;YUAN Bo;LI Mingtao;JIN Enhong(Siping Central People’s Hospital,Siping136000,Jilin,China;Affiliated Hospital of Yanbian University,Yanji 133000,Jilin,China)
出处
《延边大学医学学报》
CAS
2019年第3期190-192,共3页
Journal of Medical Science Yanbian University
关键词
慢性阻塞性肺疾病
重症感染
支气管镜肺泡灌洗
胸片
老年患者
chronic obstructive pulmonary disease
severe infection
bronchoscopy alveolar lavage
chest radiograph
elderly patients
