摘要
目的观察纤支镜肺泡灌洗术联合肺康复治疗尘肺对动脉血气指标及肺功能的影响。方法纳入2019年1—12月韶关市职业病防治院收治的98例尘肺患者,随机分为观察组与对照组,每组各49例,分别实施纤支镜肺泡灌洗术联合肺康复治疗与单纯纤支镜肺泡灌洗术治疗。比较两组患者治疗前后动脉血气指标、肺功能指标以及治疗效果。结果所有尘肺患者动脉血二氧化碳分压(PaCO_(2))经过治疗低于治疗前,血氧分压(PaO_(2))高于治疗前,观察组PaCO_(2)低于对照组,PaO_(2)高于对照组,差异有统计学意义(P<0.05);两组患者肺总量(TLC)治疗后低于治疗前,第一秒用力呼气容积(FEV1)、用力肺活量(FVC)高于治疗前,且观察组TLC治疗后低于对照组,FEV1、FVC高于对照组,差异有统计学意义(P<0.05);观察组患者治疗总有效率为95.92%,高于对照组的71.43%,差异有统计学意义(P<0.05)。结论纤支镜肺泡灌洗术联合肺康复治疗尘肺,在改善患者动脉血气指标及肺功能方面具有突出的效果,疗效可靠,可在临床广泛推广。
Objective To observe the impacts of bronchoalveolar lavage under fiberoptic bronchoscope combined with pulmonary rehabilitation on arterial blood gas index and pulmonary function in the treatment of pneumoconiosis.Methods The data of a total of 98 patients with pneumoconiosis admitted to and treated in Shaoguan Hospital for the Prevention and Treatment of Occupational Disease from January to December 2019 were collected.They were randomly divided into the observation group(n=49)and the control group(n=49).The observation group was treated with bronchoalveolar lavage under fiberoptic bronchoscope combined with pulmonary rehabilitation,while the control group was treated with bronchoalveolar lavage under fiberoptic bronchoscope alone.The arterial blood gas index,pulmonary function index and therapeutic efficacy were compared between the two groups of patients before and after treatment.Results After treatment,the partial pressure of carbon dioxide in artery(PaCO_(2))of patients was lower than that before treatment,and the partial pressure of oxygen(PaO_(2))was higher than that before treatment.The PaCO_(2) of the observation group was lower than that of the control group,and the PaO_(2) of the observation group was higher than that of the control group,with statistically significant differences(P<0.05).After treatment,the total lung capacity(TLC)of patients in both groups was lower than that before treatment,the forced expiratory volume in the first second(FEV1)and forced vital capacity(FVC)were higher than those before treatment.And after treatment,TLC in the observation group was lower than that in the control group,FEV1 and FVC in the observation group were higher than those in the control group,with statistically significant differences(P<0.05).The total effective rate in patients of the observation group was 95.92%,which was higher than 71.43%in the control group,with statistically significan t difference(P<0.05).Conclusion Bronchoalveolar lavage under fiberoptic bronchoscope combined with pulmonary rehabilita
作者
符春生
FU Chunsheng(Shaoguan Hospital for the Prevention and Treatment of Occupational Disease,Guangdong,Shaoguan 512028,China)
出处
《中国医药科学》
2021年第14期195-198,共4页
China Medicine And Pharmacy
基金
广东省韶关市科技计划项目(200812114531532)。
关键词
纤支镜肺泡灌洗术
肺康复
尘肺
动脉血气
肺功能
Bronchoalveolar lavage under fiberoptic bronchoscope
Pulmonary rehabilitation
Pneumoconiosis
Arterial blood gas
Pulmonary function
