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目的观察纤维支气管镜下肺泡灌洗术治疗吸入性肺炎的临床疗效。方法选取许昌市中心医院收治并确诊为吸入性肺炎的患者90例,随机分为研究组和普通组各45例。普通组的患者采用雾化吸入、抗生素治疗、营养支持治疗等常规治疗,研究组在常规治疗的基础上结合纤维支气管镜进行治疗,对比两组患者的临床上治疗效果。结果治疗7d后,研究组的用力肺活量(FVC)、第1s用力呼气量(FEV1)、最大呼气流量(PEF)、每分钟最大通气量(MVV)水平明显升高,肺功能改善情况显著优于普通组;研究组患者的最终住院时间及临床症状缓解时间分别为(13.50±2.00)d、(3.00±1.50)d,明显优于普通组的(22.00±3.50)d、(5.00±2.00)d,差异有具有统计学意义(P<0.05)。结论纤维支气管镜下肺泡灌洗术在吸入性肺炎治疗中取得非常理想的临床应用效果,值得应用推广。
Objective To observe the clinical efficacy of bronchoalveolar lavage in the treatment of aspiration pneumonia. Methods 90 patients admitted to Xuchang Central Hospital and diagnosed as aspiration pneumonia were randomly divided into study group and general group of 45 cases. Patients in the common group were treated by routine inhalation, antibiotic therapy and nutrition supportive therapy. The study group was treated on the basis of conventional therapy combined with bronchoscopy, and the clinical treatment effect was compared between the two groups. Results After 7 days of treatment, FVC, FEV1, PEF and MVV in study group were significantly increased, and pulmonary function improved significantly (13.50 ± 2.00) days and (3.00 ± 1.50) days in study group were significantly higher than those in general group (22.00 ± 3.50) days and (5.00 ± 2.00) days respectively ) d, the difference was statistically significant (P <0.05). Conclusions Bronchoalveolar lavage with bronchoscopy has achieved very good clinical application in the treatment of aspiration pneumonia, which is worth popularizing.