支气管肺泡灌洗术联合抗菌药物阶梯疗法对肺部感染的临床疗效观察

Bronchoalveolar lavage combined with step therapy of antibiotics in pulmonary infection and its clinical effect of application

目的研究支气管肺泡灌洗术联合抗菌药物阶梯疗法治疗肺部感染的临床疗效。方法将80例肺部感染患者随机分为试验组和对照组,每组40例。试验组给予抗菌药物阶梯疗法,同时给予支气管肺泡灌洗术;对照组给予常规的抗菌药物治疗联合支气管肺泡灌洗术。观察并评价两组患者的临床治疗效果。结果试验组与对照组患者的治疗有效率分别为97.5%和65.0%,组间差异具有统计学意义(P<0.05);两组患者的病灶吸收时间、平均住院天数、呼吸机使用天数方面,试验组均优于对照组,组间差异具有统计学意义(P<0.05)。结论支气管肺泡灌洗术联合抗菌药物阶梯治疗法对抗肺部感染患者临床效果显著。

Objective Study of bronchoalveolar lavage combined ladder of antibiotics therapy in treatment of pulmonary infection in clinical efficacy. Methods 80 cases of patients with pulmonary infection were randomly divided into two groups, the experimental and the control group, and 40 patients in each group. Ladder of antibiotics therapy in the experimental group, while giving the bronchoalveolar lavage; the control group received routine antibiotic therapy combined bronchoalveolar lavage. Observed and evaluated the clinical effect of two groups. Results In the experimental group compared with the control group the clinical curative effect of 97.5% and 65.0%, respectively, statistically significant difference between the groups （P〈0.05）, two groups of patients the lesions absorbed time, compared to the average length of stay, ventilator days in the experimental group were better than the control group, statistically significant difference between the groups （P〈0.05）. Conclusion Bronchoalveolar lavage combined with antibiotic step treatment method against significant clinical effect in oatients with pulmonary infection