支气管肺泡灌洗治疗急性肺脓肿的临床疗效观察

目的:观察经纤维支气管镜行支气管肺泡灌洗(BAL)治疗急性肺脓肿的临床疗效。方法:56例急性肺脓肿患者随机分为对照组26例和治疗组30例,对照组采用单纯内科保守治疗,治疗组在常规内科保守治疗的基础上,利用自制的灌洗液进行BAL治疗。结果:BAL治疗4周后,患者体温恢复正常、咳嗽咳痰消失以及空洞闭和率分别为93.3%、83.3%和70.0%,均显著高于对照组(53.8%,34.6%,23.09%;P<0.01)。治疗组治愈率为86.7%、总有效率为96.7%、平均治疗时间为(29.4±6.5)d,与对照组相比(57.7%,73.1%,51.8±10.1),差异均有显著性差异(P<0.05,P<0.01)。结论:BAL治疗肺脓肿能促进引流,提高抗生素在感染部位的浓度,从而缩短病程,增加疗效。

Clinical Efficacy of Bronchoalceolar Lavage in Patients with Acute Lung Abscess

Objective:To observe the clinical efficacy of bronchoalveolar lavage(BAL) in patients with acute lung abscess.Method: 56 patients with acute lung abscess were divided into control group(26 patients) and treatment group(30 patients) randomly.Routine medicine treatment was used in the control group.In addition to routine medicine treatment,BAL was used in the treatment group.Result:Recovery rate of temperature,disappearance rate of cough and expectoration and cavity closure rate in the treatment group after four weeks were 93.3%、83.3% and 70.0% respectively,which were higher than that in the control group(53.8%,34.6%,23.09%;P<0.01).Cure rate,total effective rate and average therapeutic time in treatment group were 86.7%、96.7% and(29.4±6.5)days respectively,significant differance were statistically compared with the control group(P<0.05,P<0.01).Conclusion: Treat with BAL in patients with acute Lung abscess can lead to remarkably curative effects,short-course of treatment and well-security.The therapeutic method deserves to be recommended.