双腔气管内插管单肺通气下行支气管肺泡灌洗术用于肺部感染的治疗效果研究

Effect of bronchoalveolar lavage with double lumen endotracheal intubation and one lung ventilation in patients with pulmonary infections

目的探讨双腔气管内插管单肺通气麻醉支气管肺泡灌洗术在肺部感染患者中的治疗效果,为临床治疗提供参考依据。方法选择2013年6月-2015年9月在医院接受支气管镜肺泡灌洗术治疗的重症肺部感染患者98例随机分为观察组与对照组,各49例,观察组采用双腔气管内插管单肺通气全身麻醉下实施纤维支气管镜肺泡灌洗术治疗,对照组则给予单腔气管内插管全身麻醉下纤维支气管镜肺泡灌洗术治疗,比较两组患者治疗效果及并发症情况。结果观察组有效率为95.9%,显著高于对照组的81.6%(P<0.05);两组均未出现憋气、低氧血症、出血、气管痉挛、液气胸等并发症。结论双腔气管内插管单肺通气全身麻醉下支气管肺跑灌洗术用于肺部感染的治疗,能够保证理想的麻醉效果,保证全身各组织器官的氧供,肺泡灌洗更彻底,疗效确切,安全可靠。

OBJECTIVE To discuss the clinical effects of bronchoalveolar lavage with double lumen endotracheal intubation and one lung ventilation in patients with pulmonary infections,so as to provide references for clinical treatment.METHODS A total of 98 patients with severe pulmonary infections underwent bronchoalveolar lavage from Jun.2013 to Sep.2015 were selected and randomly divided into observation group and control group,with49 cases in each group.Patients in observation group were treated with bronchoalveolar lavage with double lumen endotracheal intubation under general anesthesia,and in control group were treated with bronchoalveolar lavage with single lumen endotracheal intubation under general anesthesia.The treatment effects and complications were compared between the two groups.RESULTS The effective rate of observation group was 95.9%,which was significantly higher than 81.6% of control group（P〈0.05）.There were no complications of suffocation,hypoxemia,bleeding,tracheal spasm and liquid pneumothorax in the two groups of patients.CONCLUSIONDouble lumen endotracheal intubation and one lung ventilation general anesthesia bronchial lavage can ensure ideal anesthetic effect,ensure the oxygen supply for tissues and organs in the treatment of pulmonary infections,and the bronchoalveolar lavage is more thorough,which is effective,safe and reliable.