经纤维支气管镜支气管肺泡灌洗治疗重症肺部感染临床分析

目的:观察经纤维支气管镜支气管肺泡灌洗治疗重症肺部感染的临床疗效。方法:将94例重症肺部感染患者随机分为观察组和对照组,每组47例,两组均全身应用抗生素及祛痰药,观察组在其基础上采用经纤维支气管镜吸痰及支气管肺泡灌洗术治疗,对照组用普通吸痰机常规吸痰。结果:观察组治疗前后各主要指标差异均有显著差异(P均<0.05),对照组除呼吸频率及动脉血氧分压外,其他指标治疗前后结果无显著差异(P>0.05)。两组治疗有效率对比结果有显著差异(P<0.05)。结论:经纤维支气管镜支气管肺泡灌洗能改善呼吸道症状和通气功能,提高肺部感染治愈率,是治疗重症肺部感染的有效手段。

Effect of bronchoalveolar lavage under bronchofibroscope on severe pulmonary infection

Objective: To observe effect of bronchoalveolar lavage under bronchofibroscope on severe pulmonary infection.Methods:A total of 94 cases with severe pulmonary infection were randomly divided into two groups by half: observation group and control group.All patients were treated by antibiotics and expectorant.Besides,patients in observation group were treated by sputum aspiration and bronchoalveolar lavage under bronchofibroscope;while patients in control group were treated by routine sputum aspiration.Results:There were significant changes in all indexes after treatment in observation group(All P<0.05);while no significant changes occurred in control group(P>0.05) except respiratory frequency and PACO2.There was significant difference in total efficacy between two groups.(P<0.05).Conclusions:Bronchoalveolar lavage under bronchofibroscope can improve respiratory tract symptoms and ventilation function.It can increase cure rate and is effective treatment for pulmonary infection.