纤维支气管镜在脑出血术后肺部感染患者中的治疗作用

Treatment of fiberoptic bronchoscope on patients with pulmonary infection after cerebral hemorrhage operation

目的探讨纤维支气管镜在脑出血术后肺部感染患者中的治疗作用。方法将脑出血术后并肺部感染已行气管切开患者56例随机分为观察组和对照组,对照组给予内科常规治疗,观察组在常规治疗的基础上,加行纤维支气管镜吸痰及灌洗。结果观察组和对照组肺部感染治疗有效率分别为85.7%和53.6%,肺部感染控制时间分别为(9.2±2.1)d和(16.3±2.9)d,观察组治疗有效率显著高于对照组(P<0.05),肺部感染控制时间明显短于对照组(P<0.05)。结论纤维支气管镜在脑出血术后并肺部感染的治疗中安全有效,且无严重并发症,有较高的临床应用价值。

Objective To analyze the application value of fiberoptic bronchoscope in pulmonary infection after cerebral hemorrhage operation. Methods Fifty-six patients with pulmonary infection after cerebral hemorrhage operation were randomly divided into observation group（28 cases）and control group（28 cases）. The patients in the two groups were given routine medical treatment. In addition,the patients in observation group were given bronchial lavage. Results In observation group and control group, the effective rate for controlling infection was respectively, and the average time for controlling infection was respectively. There was significant difference between the two groups （P〈0. 05）. Conclusion Fiberoptic bronchoscope in the treatment of pulmonary infection after cerebral hemorrhage operation was effective and safe,and no severe complication, it has higher clinical application value.