纤维支气管镜检查在呼吸内科急症治疗中的应用及其对患者生存质量的影响

Aplication effect of fiber bronchoscope examination in the treatment of respiratory internal medicine emergency and its effect on the quality of life of patients

目的：研究纤维支气管镜检查在呼吸内科急症治疗中的应用效果及对患者生存质量的影响。方法将156例急症患者按数字表法随机分为观察组和对照组，每组78例。对照组根据原发病种类给予呼吸内科相应疾病的常规治疗方案，观察组在对照组治疗基础上加用纤维支气管镜检查，比较两组患者治疗后的临床疗效、血气分析变化、心率及生存质量评分。结果观察组总有效率为94．87％，明显高于对照组的81.01％（χ2＝6．28，P ＜0．05）；观察组治疗后 pH、PaO2、SaO2分别为（7．35±0．04），（73．23±9．11）mmHg、（92．33±4．32）％，明显高于对照组的相应指标（t ＝3．97、6．08、4．96，均 P ＜0．05）；而 PaCO2、HR 分别为（51.53±9．24）mmHg、（91．69±12．42）次／min，明显低于对照组的相应指标（t ＝6．73、5．13，均 P ＜0．05）；观察组治疗后生存质量评分为（54．04±10．94）分，明显低于对照组的（77．23±12．32）分（t ＝5．86，P ＜0．05）。结论纤维支气管镜检查用于呼吸内科急症治疗时，可明显提高疾病治疗的临床疗效，改善患者生活质量。

Objective To study the aplication effect of fiber bronchoscope examination in the treatment of respiratory internal medicine emergency and its effect on the quality of life of patients.Methods 156 patients with emergency were randomly divided into the observation group and control group,each group in 78 cases.The control group was given routine treatment plan according to the primary disease type which was the respiratory treatment of the corresponding diseases,the observation group in the control group was added fiberoptic bronchoscopy based on the treatment.Compared blood clinical curative effect,heart rate and quality of life score changes of the two groups of patients after treatment.Results The total effective rate of the observation group was 94.87%,which was significantly higher than 81.01% of the control group（χ2 =6.28,P 〈0.05）.The pH,PaO2 and SaO2 in the observation group after treatment were（7.35 ±0.04）,（73.23 ±9.11）mmHg and（92.33 ±4.32）%,which were significantly higher than the corresponding index in the control group（t =3.97,6.08,4.96,all P 〈0.05）;while PaCO2 and HR were （51.53 ±9.24）mmHg,（91.69 ±12.42）times/min,which were significantly lower than the corresponding index in the control group（t =6.73,5.13,all P 〈0.05）;The quality of life score in the observation group was（54.04 ± 10.94）points,which was significantly lower than（77.23 ±12.32）points of the control group（t =5.86,P 〈0.05）. Conclusion Fiberoptic bronchoscopy for respiratory internal medicine emergency treatment can significantly improve the clinical curative effect of treating disease and patient quality of life.