支气管扩张伴感染给予支气管肺泡灌洗治疗的临床研究

Clinical study of bronchoalveolar lavage in treatment of patients with bronchial dilation and infection

目的探究支气管肺泡灌洗应用在支气管扩张伴感染中的临床疗效。方法选取我院呼吸内科收治的60例支气管扩张合并感染患者作为研究对象,将患者随机分为研究组和对照组,每组30例。对照组在常规治疗基础上行体位引流,研究组则行支气管肺泡灌洗,对比两组治疗2周后Pa O_2与Pa O_2/Fi O_2测定值,对比两组的临床疗效。结果治疗2周后,研究组患者Pa O_2与Pa O_2/Fi O_2与对照组相比,均显著升高,且研究组治疗总有效率为93.33%,对照组治疗总有效率为60.00%,研究组患者总有效率明显高于对照组,两组比较,差异具有统计学意义(P<0.05)。结论患者在接受支气管肺泡灌洗后,Pa O_2与Pa O_2/Fi O_2可以得到有效改善,治疗总有效率显著升高。

Objective To explore the clinical efficacy of bronchoalveolar lavage in patients with bronchial dilation and infection. Methods Sixty cases of bronchial dilation and infection patients were randomly divided into the study group and control group, with 30 cases in each group. The patients in control group were treated with parallel postural drainage, the patients in study group were treated with bronchoalveolar lavage. The PaO2 and PaO2/FiO2values and clinical efficacy after 2 weeks of treatment in the two groups were compared. Results After 2 weeks＂ treatment, the PaO2 and PaO2/FiO2 values in the study group were higher than that of the control group.The total effective rate was 93.33% in the study group and 60.00% in the control group, the difference between the two groups was statistically significant （P〈0.05）. Conclusion PaO2 and FiO2/PaO2 of patients can be effectively improved after bronchoalveolar lavage, the total effective rate of treatment is significantly increased.