支气管肺泡灌洗治疗支气管扩张合并感染的临床疗效观察

目的探讨支气管肺泡灌洗治疗支气管扩张合并感染的临床疗效。方法选择2009年5月-2010年5月医院收治的支气管扩张合并感染患者86例,随机将患者分为观察组和对照组;两组患者经明确诊断后均给予吸氧和全身应用抗菌药物以及营养支持和维持水电解质平衡等常规综合治疗措施;观察组患者则在此基础上加用经纤维支气管镜支气管肺泡灌洗的联合治疗,而对照组患者则行体位引流或常规吸痰操作治疗,并对两组患者的相关临床指标进行对比分析。结果与对照组相比,观察组患者肺部感染的治愈率和总有效率均显著提高,分别为58.14%和97.67%;而无效率则显著降低,仅为2.33%;观察组患者治疗后的动脉血氧分压和氧合指数均明显改善,差异有统计学意义;观察组患者平均痊愈时间和住院时间以及再就诊次数均显著减少,分别为3.36 d和8.24 d以及0.81次/半年,差异有统计学意义(P<0.05)。结论采用支气管肺泡灌洗治疗支气管扩张合并感染的过程中,其疗效确切且效果显著,对于支气管扩张合并感染患者具有十分重要的临床治疗价值。

Clinical effect of bronchoalveolar lavage on treating bronchiectasis with infection

OBJECTIVE To probe into the clinical efficacy of bronchoalveolar lavage on treatment of bronchiectasis with infection.METHODS The infection in patients with bronchiectasis 86 cases were selected during May 2009-May,patients were randomly divided into two groups and the control group.After diagnosis,two groups of patients were given oxygen and systemic application of antibiotics and nutritional support and maintenance of water and electrolyte balance,the routine treatment.The patients in this based on the us...