纤维支气管镜救治慢性阻塞性肺疾病合并呼吸衰竭30例分析

目的 探讨纤维支气管镜治疗慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)合并呼吸衰竭的临床疗效.方法 将60例COPD合并呼吸衰竭的患者随机分为治疗组和对照组,每组30例;对照组常规抗感染、祛痰、吸氧等对症治疗,治疗组在此基础上通过纤维支气管镜吸痰、支气管肺泡灌...

Fiberbronchoscope treatment chronic obstructive pulmonary disease patients with respiratory failure analysis of 30 cases

Objective To evaluate the efficacy of fiberbronchoscope in chronic obstructive pulmonary disease (COPD) patients with respiratory failure. Methods 30 patients with COPD were included in the study group after randomization, and 30 patients served as control group. The control group was treated by conventional anti-infective, expectorant, oxygen and other symptomatic treatment.The study group were added on the basis of suction and bronchoalveolar lavage through the bronchoscope.Clinical efficacy were observed after 2 weeks of treatment. Results Its improvement rate and clinical efficiency have been increased in study group than those of control group ( P ＜0. 05). Compared with the results of control group,study group improved significantly in clinical symptoms, blood gas indexes and pulmonary function ( P ＜ 0. 01). Conclusions The results suggest that fiberbronchoscope can offer confirmed efficiency and safety treatment in COPD patients with respiratory failure, and can alleviate symptoms,decrease endotracheal intubation rate and promote recovery, with important clinical value.