纤维支气管镜吸痰处理对呼吸机相关肺炎患者的效果分析

Effects analysis of sputum suction by fiberoptic bronchoscopy for patients with ventilator-associated pneumonia

目的研究纤维支气管镜吸痰处理对呼吸机相关肺炎(VAP)患者感染情况及远期生活质量的影响。方法随机选取本院确诊的VAP患者(130例)作为研究对象,随机分为给予纤维支气管镜吸痰处理的观察组(65例)和常规吸痰处理的对照组(65例),观察患者治疗后不同时间的临床肺部感染评分(CPIS)及远期生活质量。结果观察组患者治疗后3、5、7d时的CPIS明显低于对照组(P<0.05);远期生活质量评分明显高于对照组(P<0.05)。结论纤维支气管镜能够有效缓解VAP患者的感染情况、改善其远期生活质量。

Objective To analyse the effects of sputum suction treatment by fiberoptic bronchoscopy for patients with ventilator associated pneumonia（VAP） ,whose infection condition and long-terra life quality were studied. Methods t30 patients with ventila- tor associated pneumonia were reeruited as objects, randomly divided into 2 groups, observation group in which patients recieved sputum suction treatment by fiberoptic bronchoscopy（n = 65）and control group （n = 65） in which usual suction treatment was adopted. At different times after treatment,clinical pulmonary infection score （CPIS） and long-term life quality were assessed. Re- suits CPISs of observation group were significantly lower than control group（P〈0. 05） ;long-term life quality scores were signifi- cantly higher than the control group（P〈0.05）. Conclusion Fiberoptic bronchoscopy can effectively alleviate the infection condition for patients with VAP,and improve the long-term life quality.