纤支镜吸痰联合俯卧位通气治疗重症吸入性肺炎的效果观察

目的 研究应用纤支镜吸痰联合俯卧位通气治疗重症吸入性肺炎的效果。方法 选取2014年4月~2017年5月入院的76例重症吸入性肺炎患者作为研究对象，随机分为对照组和研究组，各38例。两组患者均给予俯卧位通气治疗，对照组在此基础上采用常规吸痰治疗，研究组在俯卧位通气基础上加用纤支镜吸痰。比较两组患者治疗前后体温、白细胞计数、呼吸频率及心率变化情况。结果 治疗前，两组患者体温、白细胞计数、呼吸频率、心率比较，差异无统计学意义（P＞0.05）；治疗后，研究组患者体温[（36.47±0.49）℃vs（37.65±0.73）℃]、白细胞计数[（7.37±0.81）×109/L vs（12.64±1.36）×109/L]、呼吸频率[（16.28±1.45）次/min vs（19.42±2.04）次/min]、心率[（79.93±7.96）次/min vs（100.16±8.87）次/min]均优于对照组，差异有统计学意义（P＜0.05）。结论 纤支镜吸痰联合俯卧位通气治疗重症吸入性肺炎，可维持患者呼吸、心率、体温及白细胞稳定，促进其快速康复。

Observation on the Effect of Fibrobronchoscope Suction Combined with Prone Position Ventilation in the Treatment of Severe Aspiration Pneumonia

Abstract:Objective To study the effect of fibrobronchoscope suction combined with prone position ventilation in the treatment of severe aspiration pneumonia.Methods 76 patients with severe aspiration pneumonia who were admitted to hospital from April 2014 to May 2017 were randomly divided into the control group and the study group,38 cases each.Both groups of patients were treated with prone position ventilation.On the basis of this,the control group was treated with conventional suction,and the study group was treated with a fibrobronchoscope suction on the basis of prone position ventilation.The changes of body temperature,white blood cell count, respiratory rate and heart rate before and after treatment were compared between the two groups.Results Before treatment,there was no significant difference in body temperature,white blood cell count,respiratory rate and heart rate between the two groups(P>0.05).After treatment,the body temperature of the study group[(36.47±0.49)°Cvs(37.65±0.73)°C],white blood cell count[(7.37±0.81)×109/L vs(12.64±1.36)×109/L],respiratory rate[(16.28±1.45)times/min vs(19.42±2.04)times/min],heart rate[(79.93±7.96)times/min vs(100.16±8.87)times/min were superior to the control group,and the difference was statistically significant(P<0.05).Conclusion Fibrobronchoscope suction combined with prone position ventilation for severe aspiration pneumonia can maintain the patient's breathing, heart rate,body temperature and white blood cell stability,and promote their rapid recovery.