电子支气管镜肺泡灌洗在老年急性重症肺部感染并肺不张治疗中的应用价值

Application value of electronic bronchoscope alveolar lavage treatment for senile severe acute pulmonary infection with pulmonary atelectasis

目的探讨电子支气管镜肺泡灌洗在老年重症肺部感染并肺不张治疗中的应用价值。方法将36例重症肺部感染并肺不张患者随机分为对照组和观察组,每组18例。对照组采取常规治疗;观察组在对照组治疗的基础上,加用电子支气管镜肺泡灌洗。观察两组患者的临床疗效。结果观察组治疗的总有效率明显高于对照组(P<0.05);观察组PaO2、PaCO2和SaO2明显优于对照组(P<0.05);观察组平均抗生素应用时间、咳嗽咳痰消失时间、肺部炎症基本吸收时间及住院时间均明显少于对照组(P<0.05)。结论电子支气管镜肺泡灌洗对老年重症肺部感染并肺不张的治疗效果好,安全可行。

Objective To evaluate the electronic bronchoscope alveolar lavage treatment for senile severe acute pulmonary infection with pulmonary atelectasis. Methods A total of 36 patients of severe acute pulmonary infection with pulmonary atelectasis were randomly divided into trial group （n = 18 ） and control group （n = 18 ）. The control group was treated with conventional method and the trial group with bronchial lavage by electronic bronchoscope additionally. Results The total effective rate of the trial group was significantly higher than that of the control group （ P 〈 0.05 ）. The changes in PaO2 , PaCO2 and SaO2 of the trial group were signifi- cantly better than that of the control group （ P 〈 0.05 ）. The time that antibiotics was withdrawn, that cough and pulmonary inflam- mation disappeared and that the patients left hospital was significantly earlier in the trial group than in the control group（ P 〈 0.05 ）. Conclusion Lavage via electronic bronchoseope is an effective and safe therapeutic approach to senile severe acute pulmonary in- fection with pulmonary atelectasis.