纤支镜支气管肺泡灌洗治疗机械通气重症肺炎患者临床研究

The Study of Mechanical Ventilation Combined Bronchoalveolar Lavage in Treatment of Critical Pneumonia

目的:观察纤支镜支气管肺泡灌洗治疗重症肺炎的临床疗效。方法56例需机械通气重症肺炎患者分为两组:治疗组28例,采用机械通气并纤支镜灌洗;对照组28例,采用机械通气并单纯纤支镜吸痰治疗。结果在动脉血气分析、气道峰压降低等方面,治疗组优于对照组,差异有统计学意义(P<0.05)。结论需机械通气重症肺炎患者行纤支镜支气管肺泡灌洗治疗能缩短通气时间,降低死亡率。

Objective To observe the clinical ef ect of mechanical ventilation combined with bronchialavage in the treatment of critical pneumonia.Metheds Fifty-six patients with critical pneumonia were divided into two groups,twenty-eight patients were treated with mechanical ventilation combined bronchoalveolar lavage,and the other twenty-eight patients were treated with mechanical ventilation and routine sputum spiration by fiberoptic bronchoscopy.Results Blood gas analysis,P-peak were bet er in the therapy group than in the contrast group(P<0.05).Concision Ventilation time and death rate were decreased in the mechanical ventilation conbined bronchialavage group.