支气管镜治疗肺癌术后并发肺部感染42例临床观察

Bronchoscopy auxiliary experience for the treatment of lung cancer complicated with lung infection after the operation

目的:分析和研究支气管镜辅助治疗肺癌手术后并发肺部感染的临床疗效。方法:选取肺癌术后并发肺部感染患者84例,将其按投币法随机分为观察组与对照组,每组各42例。对照组给予常规对症治疗;观察组患者在常规治疗基础上采用支气管镜行辅助治疗,治疗7天后,进行两组疗效比较。结果:观察组治疗总有效率高于对照组(P<0.05);观察组症状与体征恢复至正常时间及住院治疗时间均短于对照组(P<0.05);观察组治疗后的血氧分压、二氧化碳分压、氧饱合度均优于对照组(P<0.05)。结论:将支气管镜应用于肺癌手术后并发肺部感染患者辅助治疗中,能够将气道内的分泌物彻底清除干净,有效改善患者通气功能,并且局部给药,可提高靶器官药物浓度,对提高治疗效果及改善患者预后均具有重要作用,值得临床推广。

Objective To analyze and research bronchoscope auxiliary treatment the clinical curative effect of lung cancer complicated with lung infection after the operation. Methods 84 patients with lung cancer and pulmonary infection according to its will pay method randomly divided into observation group and control group, each group of 42 patients with all have. The control group given conventional treatment; Observation group of patients on the basis of conventional treatment using bronehoscope adjuvant therapy, the two groups of patients were compared the curative effect of treatment in 7 days. Results The total effective rate of two groups of patients compared： ob- servation group is higher than the control group （ P 〈 0. 05 ）. Two groups of patients with symptoms and signs back to normal time and hospitalization time compared indicators such as ： observation group of patients are shorter than the control group （ P 〈 0. 05 ）. Compared two groups after treatment in patients with blood gas index： observation group of patients after treatment of blood oxygen partial pressure of oxygen partial pressure, carbon dioxide, full fitness monitoring values were better than control group （P 〈 0. 05）. Conclusion Bronchoscope was applied to adjuvant treatment of patients with lung cancer and pulmonary infection after the operation, it can thoroughly clean airway secretions within, effectively improve ventilation function of patients and local drug delivery, can increase the drug concentration in target organs, to improve the treatment effect and improve the prognosis of patients plays an important role.