头孢哌酮钠舒巴坦钠联合多次支气管肺泡罐洗术对卒中后鲍曼不动杆菌肺炎疗效分析

Analysis of Curative Effect of Cefoperazone Sodium and Sulbactam Sodium and Multiple Bronchoalveolar Lavage on the Acinetobacter Baumanii Pneumonia after Stroke

目的探讨多次支气管肺泡灌洗术治疗卒中后鲍曼不动杆菌肺炎的临床效果。方法从2014年1月—2015年12月该院接收的脑卒中患者中选取84例鲍曼不动杆菌肺炎感染者,分为观察组和对照组,每组42例。两组患者均静脉给予头孢哌酮钠舒巴坦钠及相应对症治疗,在此基础上对照组只行1~2次支气管肺泡灌洗术,观察组的肺泡灌洗术频率为3~4次/周,对比两组患者的治疗效果。结果观察组治疗的总有效率为88.10%,对照组治疗的总有效率为69.05%,观察组明显高于对照组,其差异有统计学意义(P<0.05)。结论脑卒中后鲍曼不动杆菌肺炎感染患者频繁多次的支气管肺泡灌洗术有助于控制感染,清除细菌,使得静脉用抗生素能更好地发挥作用,临床可加以推广。

Objective To discuss the clinical effect of cefoperazone sodium and sulbactam sodium and multiple bronchoalveolar lavage on the acinetobacter baumanii pneumonia after stroke. Methods 84 cases of infectors with acinetobacter baumanii pneumonia after stroke admitted and treated in our hospital from January 2014 to December 2015 were selected and divided into two groups with 42 cases in each, both groups adopted the cefoperazone sodium and sulbactam sodium and symptomatic treatment by venous, and the control group adopted the bronchoalveolar lavage once or twice, while the observation group adopted the bronchoalveolar lavage three times or four times per week, and the treatment effect was compared between the two groups. Results The total effective rate in the observation group was obviously higher than that in the control group（88.10% vs 69.05%）, and the difference had statistical significance（P〈0.05）. Conclusion The multiple bronchoalveolar lavage for patients with the acinetobacter baumanii pneumonia after stroke contributes to controlling infection, clearing the bacteria and making the use of antibacterial by venous better play its role, and it can be promoted in clinic.