纤维支气管镜辅助治疗慢性阻塞性肺疾病急性加重并发呼吸衰竭的疗效分析

目的观察并分析纤维支气管镜辅助治疗慢性阻塞性肺疾病急性加重并发呼吸衰竭的疗效。方法选取我院2013年6月-2014年6月收治的慢性阻塞性肺疾病急性加重并发呼吸衰竭的患者56例,根据随机原则,将患者分为治疗组和对照组,每组各28例,对照组给予常规对症营养支持治疗,治疗组在对照组的基础上给予纤维支气管镜辅助治疗,观察两组患者在治疗前、治疗后2 h及24 h后的动脉血气分析,并记录指标PaO2、PaCO2、PH的变化情况。结果两组患者在治疗2 h、24 h后的指标PaO2、PaCO2均有显著改变（P〈0.05）;两组指标PH在治疗前后均无明显差异。且治疗组较对照组的PaO2升高和PaCO2的降低更明显,差异均具有统计学意义（P〈0.05）。结论纤维支气管镜辅助治疗慢性阻塞性肺疾病加重呼吸衰竭的效果较好,在抢救呼吸衰竭中具有重要价值,是一种安全有效值得临床广泛使用的方法。

Analyze of the clinical efficiency of bronchfiberscope in the rescue of acute exacerbations of chronic obstructive pulmonary diseases patients with respiratory failure

【Objective】To observe and analyze the clinical efficiency of bronchfiberscope in the rescue of acute exacerbations of chronic obstructive pulmonary diseases（COPD） patients with respiratory failure. 【Methods】Select our hospital from June 2013 to June 2014 were chronic obstructive pulmonary diseases acute exacerbation of 56 patients with concurrent respiratory failure, according to the principle of random, divided the patients into the treatment group and control group, 28 cases in each group, control group given conventional nutrition support treatment, the treatment group given on the basis of control group and given bronchfiberscope adjuvant therapy, observe two groups of patients before and after treatment for 2 hours and 24 hours after the arterial blood gas analysis, and record the change of the index of PaO2, PaCO2, pH. 【Results】Two groups of patients＇ the index PaO2, PaCO2 were significant changed after the treatment of 2 hours, 24 hours（P〈0.05）; Two groups of indicators PH were no obvious difference before and after therapy. And the treatment group than the control group of PaO2 higher and PaCO2 decrease more obviously, the differences were statistically significant（P〈0.05）. 【Conclusion】Bronchfiberoscope in the rescue of acute exacerbations of chronic obstructive pulmonary diseases（COPD）aggravate respiratory failure effect is good, so it is great value in rescuing respiratory failure, and it is a safe, effective method, it should be popular used in clinical.