经纤维支气管镜灌洗治疗重症肺部感染的临床疗效观察

Clinical observation of fiberoptic bronchoscopy lavage in the treatment of severe pulmonary infection

目的观察纤维支气管镜灌洗治疗重症肺部感染的临床效果。方法将40例入住ICU的重症肺部感染患者按家属知情同意分为治疗组和对照组各20例。对照组患者给予抗感染、吸氧、化痰、解痉等治疗,必要时可人工气道通气;治疗组在此基础上再采用纤维支气管镜灌洗疗法。比较2组患者的白细胞、体温恢复正常所需时间、临床体征恢复正常所需时间及住院时间的差异。结果治疗组总有效率为95.0%明显高于对照组的80.0%,差异有统计学意义(χ2=9.23,P=0.0024)。治疗组体温、白细胞恢复正常时间、临床体征消失时间及住院时间均明显短于对照组,差异均有统计学意义(P<0.05)。结论纤维支气管镜灌洗治疗可以缩短患者的住院时间,提高临床治疗效果。

Objective To evaluate the clinical effection with fiberoptic bronchoscopy in the treatment of severe pulmonary infection.Methods In the ICU 40 patients with severe pulmonary infection,which consented of their family members,are divided into two groups：treatment group and control group,with 20 cases of each.Patients in the control group received anti infection,oxygen inhalation,expectorant and antispasmodic treatment,and artificial airway ventilation was necessary.On this basis,the treatment group was treated with fiberoptic bronchoscopy.The time needed for the normal recovery of WBC and body temperature,the time required for clinical signs,and the hospitalization time were compared between the two groups.Results The total efficiency of treatment group（95.0%） was significantly higher than the control group（80.0%,the difference was statistically significant（χ^2=9.23,P=0.0024）.The time needed for the normal recovery of WBC and body temperature,the time required for clinical signs,and the hospitalization time were significantly shorter than those of the control group,the differences were statistically significant（P〈0.05）.Conclusion Fiberoptic bronchoscopy lavage treatment can shorten the patient＇s hospital stay,and improve the effect of clinical treatment.