摘要
目的:分析纤维支气管镜吸痰灌洗治疗重症监护室肺部感染患者的效果。方法:选取南京医科大学附属江宁医院2019年1月-2022年6月收治的61例重症监护室肺部感染患者作为研究对象,随机分为对照组和研究组。对照组30例行常规对症治疗,研究组31例在常规治疗的基础上行纤维支气管镜吸痰灌洗治疗。对比两组临床效果、肺功能指标、机械通气时间、抗菌药物使用时间、ICU住院时间、血气分析指标。结果:研究组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。治疗前,两组用力肺活量占预测值的百分比(FVC%)、第1秒用力呼气量占预测值的百分比(FEV_(1)%)比较,差异无统计学意义(P>0.05);治疗后,研究组FVC%、FEV_(1)%均高于对照组,差异有统计学意义(P<0.05)。研究组机械通气时间、抗菌药物使用时间、ICU住院时间均短于对照组,差异有统计学意义(P<0.05)。治疗前,两组动脉血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))及血氧饱和度(SPO_(2))水平比较,差异无统计学意义(P>0.05);治疗后,研究组PaO_(2)水平高于对照组,PaCO_(2)、SPO_(2)水平低于对照组,差异有统计学意义(P<0.05)。结论:重症监护室肺部感染患者在常规治疗的基础上行纤维支气管镜吸痰灌洗治疗具有显著效果,可改善患者肺功能及血气指标,加快康复速度。
Objective: To analyze the effect of fiberoptic bronchoscope suction and lavage in the treatment of pulmonary infection in intensive care unit patients. Methods: A total of 61 patients with pulmonary infection in intensive care unit treated in the Affiliated Jiangning Hospital of Nanjing Medical University from January 2019 to June 2022 were selected as the study subjects,and they were randomly divided into control group and study group. The 30 cases in the control group received conventional symptomatic treatment, and 31 cases in the study group received fiberoptic bronchoscope sputum suction and lavage treatment on the basis of conventional treatment. The clinical effects, pulmonary function indicators, mechanical ventilation time, antimicrobial drug use time, length of ICU stay, and blood gas analysis indicators of the two groups were compared. Results: The overall effective rate of treatment in the study group was higher than that in the control group, and the difference was statistically significant(P<0.05). Before treatment, there were no significant differences in the percentage of forced vital capacity to predicted value(FVC%)and percentage of forced expiratory volume in the first second to predicted value(FEV_(1)%) between two groups(P>0.05). After treatment, FVC% and FEV_(1)% in the study group were higher than those in the control group, and the difference was statistically significant(P<0.05). The mechanical ventilation time, antimicrobial drug use time, and length of ICU stay in the study group were all shorter than those in the control group, and the differences were statistically significant(P<0.05). Before treatment, there were no significant differences in arterial partial pressure of oxygen(PaO_(2)), arterial partial pressure of carbon dioxide(PaCO_(2)) and oxygen saturation(SPO_(2)) between the two groups(P>0.05). After treatment, the levels of PaO_(2)in the study group were higher than those in the control group, and the levels of PaCO_(2)and SPO_(2)in the study group were lower than those in t
作者
路玉宇
聂玲玲
Lu Yu-yu;Nie Ling-ling(Department of Critical Care Medicine,Affiliated Jiangning Hospital of Nanjing Medical University,Nanjing 211100,Jiangsu Province,China)
出处
《中国社区医师》
2022年第36期38-40,共3页
Chinese Community Doctors
关键词
纤维支气管镜吸痰灌洗
重症监护室
肺部感染
肺功能
Fiberoptic bronchoscope suction and lavage
Intensive care unit
Pulmonary infection
Pulmonary function
