支气管镜治疗支气管扩张症重症感染患者的疗效分析

Curative effect analysis of fiberoptic bronchoscopy in the treatment of bronchiectasis patients with severe infection

目的观察支气管扩张症重症感染患者应用支气管镜吸痰及抗生素灌洗治疗的疗效。方法选择我院100例支气管扩张症重症感染患者,随机分为治疗组(50例),对照组(50例),两组的年龄、性别、血气分析、血常规等检查方面,比较无差异(P<0.05)。对照组给予常规的吸氧、化痰、敏感抗生素、必要时的机械通气治疗,治疗组在常规治疗的基础上,联合纤维支气管镜吸痰及敏感抗生素肺泡灌洗治疗,对比两组的临床症状缓解时间、血气分析、血常规、住院时间。结果治疗组比较对照组,临床症状缓解时间、住院时间均明显缩短,血气分析及血常规改善明显。结论支气管镜吸痰及抗生素灌洗治疗是治疗支气管扩张症重症感染患者的有效方法。

Objective To observe the therapeutic effect of pumping sputum and antibiotic bronchoalveolar lavage under fiberoptic bronchoscopy （ FB） in the treatment of bronchiectasis patients with severe infection. Methods 100 bronchiectasis patients with severe infection were randomly divided into the control group （50 cases） and the treatment group （50 cases）. There was no significant difference in age, sexuality, routine blood test and blood gas a-nalysis between the two groups. The control group was given routine treatment （ including oxygen inhalation, sputum elimination, internal sensible anti-infection medicine, and mechanical ventilation if needed） , and the treatment group was additionally given pump sputum and antibiotic bronchoalveolar lavage under fiberoptic bronchoscopy on the basis of the control group. Their clinical effect, clinical symptoms relieving time, hospital stay and blood gas analysis were analyzed and compared between the two groups. Results The clinical effect was better in the treatment group than in the control group, and the clinical symptoms relieving time and the average duration of hospital stay were shorter in the treatment group than in the control group （P〈0. 05）. The blood gas analysis indexes improved significantly after treatment in the two groups （P〈0. 05）, and the improvement was more pronounced in the treatment group than in the control group （ P〈0. 05 ） . Conclusion Sputum suction and antibiotic bronchoalveolar lavage under fiberoptic bronchoscopy are effective methods in the treatment of bronchiectasis patients with severe infection.