纤维支器官镜治疗脑梗死并肺部感染临床疗效分析

Clinical observation on effect of textile fiber bronchoscope to treat the cerebral infarction and lung infection

目的观察床旁纤维支气管镜治疗脑梗死合并肺部感染的临床疗效。方法采用前瞻性、随机平行对照的研究方法,选择2006年6月至2008年3月期间诊断的128例脑梗死合并肺部感染的住院病例,随机分成A组64例(给予常规治疗如抗感染、化痰、支持治疗)、B组64例(给予床旁纤维支气管镜下治疗),观察两组疗效。结果两组在病死率、体温恢复正常的天数、肺部湿啰音消失天数、WBC总数、中性粒细胞分类正常的天数等,差异均有统计学意义(P<0.05),床旁纤维支气管镜治疗取得了良好的临床效果。结论床旁纤维支气管镜治疗脑梗死并肺部感染疗效较高,不良反应小,有较好的临床推广价值。

Objective To observe the effect of using textile fiber bronchoscope to treat the cerebral infarction complicating lung infection. Methods To analyze the clinical effect of 128 inpatients with cerebral infarction complicating lung infection from June 2006 to March 2008 by randomized controlled trials. All cases were randomly divided into two groups. Group A was treated with routine treatment such as anti-inflammation, phlegm reduction and support treatment stochastically. Group B was treated with textile fiber bronchoscope. Results The mortality rate, the time of body temperature reverting to normal,the time of physical signs of lung vanishing, the time of total count of WBC and differentiation of neutral granular cell reverting to normal showed statistical significance （P 〈 0.05 ）. Conclusions To treat the cerebral infarction complicating lung infection with a textile fiber bronchoscope is an effective method and has minor side effect. It may be popularized in clinical trial.