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目的观察并探讨纤维支气管镜在重症肺炎治疗中的应用价值。方法将我院2013年1月至2015年7月收治的82例重症肺炎患者分为对照组(41例)与治疗组(41例)。对照组应用无菌吸痰管吸取呼吸道分泌物并接受常规综合治疗,治疗组在此基础上采用纤维支气管镜吸取呼吸道分泌物及支气管肺泡灌洗。评估两组疗效与血气指标改善情况。结果治疗总有效率为90.2%(37/41),对照组治疗总有效率仅为70.7%(29/41),治疗组治疗总有效率明显高于对照组,二者存在有统计学意义(P<0.05);治疗前两组血气指标无统计学意义(P>0.05);灌洗治疗后治疗组患者Pa O_2、Sp O_2、Pa CO_2有明显改善,与对照组相比差异有统计学意义(P<0.05)。结论重症肺炎各类治疗方法中,应用纤支镜吸痰及支气管肺泡灌洗取得满意的疗效,安全性较高,有利于改善患者血气指标与通气质量,值得临床推广应用。
Objective To observe and discuss the value of fibrobronchoscopy in the treatment of severe pneumonia. Methods 82 patients with severe pneumonia admitted in our hospital from January 2013 to July 2015 were divided into control group (41 cases) and treatment group (41 cases). In the control group, the respiratory secretions were taken by a sterile suction tube and routinely treated. The treatment group received bronchial alveolar lavage with bronchoscopy. To evaluate the two groups efficacy and improvement of blood gas indicators. Results The total effective rate was 90.2% (37/41). The total effective rate of the control group was only 70.7% (29/41). The total effective rate of the treatment group was significantly higher than that of the control group (both statistically significant ( P <0.05). There was no significant difference in blood gas index between the two groups before treatment (P> 0.05). PaO2, SpO2 and PaCO2 in the treatment group were significantly improved after lavage treatment, with significant difference compared with the control group (P <0.05). Conclusions Among the various treatment methods of severe pneumonia, satisfactory results are obtained by using bronchoscopy and bronchoalveolar lavage, which is safe and can improve the blood gas index and ventilation quality of patients. It is worthy of clinical application.