纤维支气管镜灌洗吸痰治疗老年卒中相关性肺炎的研究

Observation on study on branchofiberoscopic lavage and sputum aspiration in treatment of senile stroke-associated pneumonia

目的观察纤支镜灌洗吸痰治疗老年卒中相关性肺炎的效果。方法选择我院2015年1月~2018年1月收治的老年卒中相关性肺炎患者60例,随机分组,对照组(n=30)采用常规治疗方法进行干预;观察组(n=30)在常规治疗的基础上,采用纤维支气管镜吸痰灌洗方法进行干预,比较两组患者的治疗效果、肺功能指标、体温、白细胞计数。结果观察组治疗有效率为93.33%高于对照组的66.67%,差异有统计学意义(P<0.05);与对照组比较,观察组治疗后体温、白细胞计数明显更低(P<0.05);观察组患者FEV1(2.62±0.55)L、FEV1/FVC(69.23±9.92)%、PEF(6.33±2.51)L/s、MMEF(1.56±0.82)L/s高于对照组,差异统计学意义(P<0.05);治疗后观察组各个肺功能指标水平高于对照组,差异有统计学意义(P<0.05)。结论老年卒中相关性肺炎患者采用纤维支气管镜灌洗吸痰方法进行治疗,可以有效地改善患者的肺功能,有利于进一步提高疗效。

Objective To observe the curative effect of branchofiberoscopic lavage and sputum aspiration in treatment of senile stroke-associated pneumonia.Methods 60 senile patients with stroke-associated pneumonia who were admitted and treatment in our hospital from January 2015 to January 2018 were selected and they were randomly divided into two groups.The control group(n=30)was given routine treatment method for intervention while the observation group(n=30)was given branchofiberoscopic lavage and sputum aspiration for intervention.The curative effects,lung function index,body temperature and white blood cell count were compared between the two groups.Results The effective rate of treatment in the observation group(93.33%)was higher than that in the control group(66.67%),and the difference was statistically significant(P<0.05).Compared with the control group,the body temperature and white blood cell count were significantly lower in the observation group after treatment(P<0.05).FEV1(2.62±0.55)L,FEV1/FVC(69.23±9.92)%,PEF(6.33±2.51)L/s,and MMEF(1.56±0.82)L/s were higher in the observation group than in the control group,and the difference was statistically significant(P<0.05).After treatment,the lung function index of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Branchofiberoscopic lavage and sputum aspiration in treatment of senile stroke-associated pneumonia can effectively improve the lung function of patients and help to further improve the curative effect.