经电子支气管镜肺灌洗及局部注药治疗肺脓肿的临床疗效分析

Analysis of the Clinical Effect of Lung Lavage and Local Injection of Drugs on Lung Abscess Through Electronic Bronchoscope

目的研究经电子支气管镜肺灌洗及局部注药治疗肺脓肿的治疗效果以及临床应用价值。方法选取该院接收的80例肺脓肿患者,该次实验研究的时间为2017年7月—2019年7月,采用随机抽签法将患者分为实验组与对照组,其中实验组患者40例,对照组患者40例,对照组患者采用常规的治疗方法,实验组患者在对照组的治疗基础上,联合经电子支气管镜肺灌洗及局部注药治疗,比较两组患者的治疗效果、治疗满意度、症状恢复时间、并发症发生情况。结果实验组患者的治疗效果优于对照组患者,其中两组的治疗有效例数分别为30例,39例,差异有统计学意义(χ^2=8.538,P=0.003);实验组患者的症状恢复时间短于对照组患者,对照组与实验组症状改善时间<2周,2~4周、>4周的例数分别为10例,18例,12例;31例,8例,1例,差异有统计学意义(χ^2=22.064、5.698、11.114,P<0.05);实验组患者的治疗满意度情况优于对照组患者,治疗满意例数分别为29例,38例,差异有统计学意义(χ^2=7.440,P=0.006);实验组患者的并发症发生率低于对照组患者,两组的并发症发生例数分别为8例,1例,差异有统计学意义(χ^2=6.135,P=0.013)。结论肺脓肿患者进行经电子支气管镜肺灌洗及局部注药治疗的效果良好,症状恢复较快,并发症发生概率较低。

Objective To study the therapeutic effect and clinical application value of lung lavage via electronic bronchoscope and local injection for lung abscess.Methods Select 80 patients with lung abscesses received in the hospital.The time of this experimental study was from July 2017 to July 2019.These patients were divided into experimental group and control group by random drawing.Among them,there were 40 patients in the experimental group and 40 patients in the control group.The patients in the control group were treated with conventional treatment methods.The patients in the experimental group were treated with electronic bronchoscopy lung lavage and local injection on the basis of the treatment in the control group.The treatment effect,treatment satisfaction,symptom recovery time,and complications of the two groups of patients.Results The treatment effect of the experimental group was better than that of the control group.The effective number of the two groups was 30 cases and 39 cases respectively,the difference was statistically significant(χ^2=8.538,P=0.003).The symptom recovery time of the experimental group was shorter than that of the control group.The symptom improvement time of the control group and the experimental group was less than two weeks,two to four weeks,and the number of patients more than four weeks was 10 cases,18 cases,12 cases,31 cases,8 cases,1 cases.There were differences in the data between the two groups(χ^2=22.064,5.698,11.114.P<0.05).The treatment satisfaction of the experimental group was better than that of the control group.The number of satisfied patients was 29 cases and 38 cases respectively.The different between the two groups was statistically significant(χ^2=7.440,P=0.006).The incidence of complications in the experimental group was lower than that in the control group.The number of complications in the two groups was 8 cases and 1 cases respectively.The difference between the two groups is statistically significant(χ^2=6.135,P=0.013).Conclusion Patients with lung abscess undergoing electronic bronchoscope lung lavage and local drug injection have a good effect,with faster recovery of symptoms and a lower probability of complications.