摘要
目的分析纤维支气管镜吸痰+抗感染治疗重症肺炎患者的临床效果及对炎症因子水平的影响。方法回顾性选取2018年1月至2020年1月本院收治的重症肺炎患者100例,根据治疗方法将其分为对照组和研究组,每组50例。对照组给予抗感染治疗,研究组在抗感染治疗基础上给予纤维支气管镜吸痰治疗。比较两组的肺功能指标、血清炎性因子水平及临床疗效。结果治疗后,两组患者的FEV1、MMV、TLC、FRC均较治疗前显著升高,且研究组高于对照组(P<0.05)。治疗后,两组患者的血清PCT、IL-6、CRP水平均较治疗前显著降低,且研究组低于对照组(P<0.05)。研究组的治疗总有效率为92.00%,高于对照组的74.00%(P<0.05)。结论纤维支气管镜吸痰+抗感染治疗重症肺炎患者的临床效果显著,可明显提升患者的肺功能,降低炎症反应因子水平。
Objective To analyze the clinical effect of sputum aspiration by fiberoptic bronchoscopy and anti-infection in the treatment of patients with severe pneumonia and its influence on the level of inflammatory factors.Methods A total of 100 patients with severe pneumonia in our hospital from January 2018 to January 2020 were retrospectively selected and divided into control group and study group according to the treatment methods,with 50 cases in each group.The control group was given anti-infection treatment,and the study group was given sputum aspiration by fiberoptic bronchoscopy on the basis of anti-infection treatment.The lung function indexes,serum inflammatory factor levels and clinical efficacy of the two groups were compared.Results After treatment,the FEV1,MMV,TLC and FRC in the two groups were significantly higher than those before treatment,and those in the study group were higher than the control group(P<0.05).After treatment,the levels of serum PCT,IL-6 and CRP in the two groups were significantly lower than those before treatment,and those in the study group were lower than the control group(P<0.05).The total effective rate of treatment in the study group was 92.00%,which was higher than 74.00%in the control group(P<0.05).Conclusion Sputum aspiration by fiberoptic bronchoscopy and anti-infection in the treatment of patients with severe pneumonia has significant clinical effect,which can significantly improve the lung function of patients and reduce the level of inflammatory response factors.
作者
韦明君
曾昭墩
WEI Mingjun;ZENG Zhaodun(Internal Medicine Department,the People's Hospital of Huaiji County,Zhaoqing 526400,China)
出处
《临床医学研究与实践》
2021年第14期63-64,79,共3页
Clinical Research and Practice
关键词
重症肺炎
纤维支气管镜吸痰
抗感染治疗
PCT
IL-6
CRP
severe pneumonia
sputum aspiration by fiberoptic bronchoscopy
anti-infection treatment
PCT
IL-6
CRP
