支气管肺泡灌洗治疗重症肺炎的效果观察

Effect of Bronchoalveolar Lavage in Treatment of Severe Pneumonia

目的观察在常规祛痰解痉等治疗基础上加用支气管肺泡灌洗治疗重症肺炎的临床效果。方法选取2019年1月至8月中国人民解放军联勤保障部队第926医院收治的重症肺炎患者100例,随机数字表法分为2组,每组50例。常规治疗组患者采取常规祛痰解痉等疗法治疗,支气管肺泡灌洗组患者采取常规祛痰解痉等疗法+支气管肺泡灌洗疗法治疗。比较2组治疗效果。结果支气管肺泡灌洗组重症肺炎疗效、改善时间、肺功能均优于常规治疗组(P<0.05)。支气管肺泡灌洗组血气分析指标氧分压高于常规治疗组(P<0.05),二氧化碳分压低于常规治疗组(P<0.05)。结论常规祛痰解痉等疗法+支气管肺泡灌洗疗法治疗重症肺炎效果良好。

Objective To observe the clinical effect of bronchoalveolar lavage in the treatment of severe pneumonia on the basis of routine expectorant and spasmolysis.Methods A total of 100 patients with severe pneumonia admitted to the 926 Hospital of the Joint Logistic Support Force of the Chinese People's Liberation Army(PLA)from January to August 2019 were randomLy divided into 2 groups with 50 patients in each group.Patients in the conventional treatment group were treated with routine expectoration and spasmolysis,while patients in the bronchoalveolar lavage group were treated with routine expectoration and spasmolysis and other therapies plus bronchoalveolar lavage.The therapeutic effects of the two groups were compared.Results The efficacy,improvement time and lung function of severe pneumonia in bronchoalveolar lavage group were better than those in conventional treatment group(P<0.05).In the bronchoalveolar lavage group,the oxygen partial pressure of the blood gas analysis index was higher than that of the conventional treatment group,(P<0.05),and the partial pressure of carbon dioxide was lower than that of the conventional treatment group,(P<0.05).Conclusion Conventional antispasmodic therapy and bronchoalveolar lavage therapy are effective in the treatment of severe pneumonia.