肺泡灌洗术与纤支镜在慢阻肺合并肺不张中的诊断与治疗分析

Analysis on diagnosis and treatment of chronic obstructive pulmonary disease complicated with atelectasis by bronchoalveolar lavage and fiberoptic bronchoscopy

目的分析肺泡灌洗术与纤维支气管镜(纤支镜)在慢性阻塞性肺疾病(慢阻肺)合并肺不张中的诊断与治疗效果。方法 60例慢阻肺合并肺不张患者,通过随机数字表法分为对照组与实验组,各30例。对照组实施纤支镜吸痰治疗,实验组实施纤支镜联合肺泡灌洗术治疗,比较两组患者的检出率、肺复张律、血气指标及临床疗效。结果实验组检出率明显高于对照组,差异具有统计学意义(P<0.05)。治疗后,实验组肺复张率为86.7%(26/30),对照组肺复张率为60.0%(18/30),比较差异具有统计学意义(P<0.05)。治疗后,实验组血气指标明显优于对照组,差异具有统计学意义(P<0.05)。实验组临床治疗总有效率高于对照组,差异具有统计学意义(P<0.05)。结论在慢阻肺合并肺不张患者的临床诊断及治疗中,应用纤支镜联合肺泡灌洗术治疗,既可提高诊断及治疗效果,还可改善患者血气指标、提高肺复张率,值得临床推广应用。

Objective To analyze the diagnosis and treatment effect of bronchoalveolar lavage and fiberoptic bronchoscopy in chronic obstructive pulmonary disease complicated with atelectasis. Methods A total of 60 chronic obstructive pulmonary disease complicated with atelectasis patients were divided by random number table method into control group and experimental group, with 30 cases in each group. The control group received fiberoptic bronchoscopy for sputum suction, and the experimental group received bronchoalveolar lavage and fiberoptic bronchoscopy. Comparison were made on dectection rate, lung recruitment rate, blood gas index and clinical efficacy between two groups. Results The experimental group had obviously higher detection rate than the control group, and the difference was statistically significant（P〈0.05）. The experimental group had lung recruitment rate as 86.7%（26/30）, which was 60.0%（18/30） in the control group, and the difference was statistically significant（P〈0.05）. The experimental group had obviously better blood gas index than the control group, and the difference was statistically significant（P〈0.05）. The experimental group had higher clinical treatment total effective rate than the control group, and the difference was statistically significant（P〈0.05）. Conclusion In clinical diagnosis and treatment of chronic obstructive pulmonary disease complicated with atelectasis patients, application of fiberoptic bronchoscopy and bronchoalveolar lavage can not only improve the diagnosis and treatment effect, but also improve the blood gas index and increase the lung recruitment rate. It is worthy of clinical promotion and application.