纤维气管镜灌洗吸痰治疗老年吸入性肺炎疗效观察

目的:探讨常规治疗以及常规治疗加用纤维支气管镜下支气管灌洗吸痰治疗老年吸入性肺炎(aspiration pneumonia,AP)的临床疗效.方法:选取2015年1月至2016年12月接受治疗的AP患者40例,其中男22例,女18例,随机分为两组,对照组(20例)给予常规治疗(包括普通吸痰管吸痰),观察组(20例)给予常规治疗加用纤维支气管镜下支气管灌洗、吸痰,持续观察至出院,观察两组患者治疗前后白细胞总数(WBC)及氧合指数(PaO2/FiO2)、两组患者的一般情况和治疗1周后胸片肺部阴影面积缩小情况.结果:治疗后,两组PaO2/FiO2上升,WBC下降,两组治疗方法均有效,且观察组疗效明显优于对照组(P<0.05).治疗后患者的一般情况观察组较对照组改善明显(P<0.05)治疗1周后复查胸片,观察组显效率90%(18/20)明显优于对照组50%(10/20)(P<0.05).结论:两组治疗后PaO2/FiO2、WBC以及肺部阴影明显改善.证明在老年AP患者的治疗中纤维支气管镜支气管灌洗的疗效优于普通吸痰管吸痰.

Fiber Bronchoscopy in the Treatment of Elderly Patients with Aspiration Pneumonia

Objective:To investigate the clinical effect of routine treatment and routine treatment plus fi-ber bronchoscopy in the treatment of elderly patients with aspiration pneumonia ( AP ) . Methods:40 cases of elderly patients with AP who was admitted in this hospital from January 2012 to January2015 were selected as the objects, among them, 22 cases were male, 18 female patients, randomly divided into two groups, and the compared group ( 20 cases) were given routine treatment ( including common sputum suction catheter for spu-tum) , while the observation group ( 20 cases) received conventional treatment plus with fiber bronchoscope bronchial lavage and continuous observation until discharge, to observe the effect of the two groups before and after treatment in patients with white blood cell total (WBC) and oxygen index (PaO 2 / FIO 2), after a week of treatment X Ray sternum inflammatory lesions of the change. Results:After treatment, the two groups ' FiO2/PaO2 increased, WBC decreased, all the treatment of two groups were effective, and the observation group was significantly better than the compared group ( P < 0.05) . After the treatment for one week, the ob-servation group was significantly better than the control group 50% (10/20) (P) (18/20 < 0.05). Conclu-sion:After treatment, the pulmonary shadow of FiO2/ PaO2 and WBC is significantly improved which proved that in the treatment of elderly patients with AP , the curative effect of bronchial lavage with bronchial tube is better than that of ordinary sputum suction tube.