支气管镜肺泡灌洗治疗脑卒中合并肺部感染的临床观察

目的 探讨支气管镜肺泡灌洗治疗脑卒中合并肺部感染的临床疗效.方法 54例脑卒中合并肺部感染患者随机分为治疗组28例,对照组26例,对照组予常规抗感染,对症支持及原发病等综合治疗;治疗组在对照组基础上予支气管镜肺泡灌洗治疗.结果 治疗组总有效率明显高于对照组(P<0.01);感染控制时间及住院时间较对照组明显缩短(P<0.01);需机械通气率及死亡率明显减少(P<0.05).结论 支气管镜肺泡灌洗治疗脑卒中合并肺部感染疗效确切.

Clinical observation of bronchoalveolar lavage by bronchoscope in the treatment of patients with pulmonary infection after stroke

Objective To observe the clinical efficacy of bronchoalveolar lavage by bronchoscope in the treatment of patients with pulmonary infection after stroke.Methods 54 patients with pulmonary infection after stroke were randomly divided into treatment group(28 cases) and control group(26 cases).Patients of the control group were given routine systemic antibiotic,supported and anti-primary disease treatment.Patients of the treatment group were given bronchoalveolar lavage by bronchoscope based on the therapy of the control group.Results The total effective rate of treatment group was significantly higher than that of the control group(P<0.01);The control time for pulmonary infection and the hospital time in the treatment group were significantly shorter than those of the control group(P<0.01);The mechanical ventilation rate and the death rate of the treatment group were significantly reduced than those of the control group(P<0.05).Conclusion Bronchoalveolar lavage by bronchoscope on patients with pulmonary infection is effective and safe,and it is worthwhile to popularize.