纤维支气管镜灌洗治疗昏迷患者合并重症肺部感染疗效及可行性

Efficacy and Feasibility of Fiber Bronchoscopy in the Treatment of Coma Patients With Severe Pulmonary Infection

目的：对纤维支气管镜灌洗治疗昏迷患者合并重症肺部感染的疗效进行探讨分析。方法将我院自2014年3月～2015年3月收治的112例昏迷合并重症肺部感染患者，随机分成实验组和对照组，对照组行常规抗感染治疗，实验组在对照组的基础上应用纤维支气管镜灌洗联合治疗，对比两组患者的临床效果。结果实验组患者血象恢复正常时间，肺部症状消失时间，体温恢复正常时间，机械通气时间等临床指标均明显优于对照组，对比差异显著，P＜0.05；实验组患者有效率为92.9%，明显优于对照组患者，对比差异有统计学意义，P＜0.05。结论纤维支气管镜灌洗治疗昏迷患者合并重症肺部感染疗效好，可行性高。

Objective Bronchoscopy lavage coma patients with severe pulmonary infection explore the efficacy analysis.MethodsIn our hospital from March 2014~March 2015 period 112 cases admitted in a coma with severe pulmonary infection were randomly divided into experimental and control groups, the control group underwent conventional anti-infection treatment, the experimental group basis in the control group application bronchoscopy lavage combination therapy, the clinical results compared two groups of patients. ResultsThe patients blood return to normal, pulmonary symptoms disappeared time, temperature returned to normal time, duration of mechanical ventilation and other clinical parameters were significantly better than the control group, compared to a significant difference,P〈0.05; the effective rate of the experimental group were 92.9% significantly better than the control group of patients, the difference was statistically significant comparison,P〈0.05. Conclusion Bronchoscopy lavage coma patients with severe pulmonary infection is effective, high feasibility.