纤维支气管镜辅助治疗重症呼吸机相关性肺炎的临床疗效以及对呼吸力学指标的影响

Clinical efficacy of fiberoptic bronchoscopy adjuvant therapy for severe ventilator associated pneumonia(VAP) and its influence on respiratory mechanics indexes

目的:探讨纤维支气管镜辅助治疗重症呼吸机相关性肺炎(VAP)的临床疗效。方法:收治重症呼吸机相关性肺炎患者78例,随机分为常规组与纤维镜组。常规组采用常规治疗,纤维镜组在常规组基础上加用纤维支气管镜辅助治疗,比较两组治疗效果。结果:纤维镜组的治疗总有效率和各项呼吸动力学指标均显著优于常规组(P<0.05)。结论:纤维支气管镜辅助治疗重症呼吸机相关性肺炎的临床疗效较好。

Objective：To explore the clinical efficacy of fiberoptic bronchoscopy adjuvant therapy for severe ventilator associated pneumonia.Methods：78 patients with severe ventilator associated pneumonia were selected.They were randomly divided into the routine group and the fiberoptic bronchoscopy adjuvant therapy group.The routine group was treated with routine therapy,and the fiberoptic bronchoscopy adjuvant therapy group added with fiberoptic bronchoscopy adjuvant therapy on the basis of the routine group.We compared the therapeutic effect of two groups.Results：In the fiberoptic bronchoscopy adjuvant therapy group,the effective rate of treatment and the indexes of respiratory dynamics were significantly better than those of the routine group（P〈0.05）.Conclusion：The clinical efficacy of fiberoptic bronchoscopy adjuvant therapy for severe ventilator associated pneumonia was better.