经纤维支气管镜灌洗治疗重症肺炎临床疗效分析

Analysis of Clinical Curative Effect of Lavage by Fiberoptic Bronchoscope for Severe Pneumonia

目的探讨经纤维支气管镜灌洗治疗重症肺炎临床效果。方法方便选取该院2017年1月—2019年10月重症肺炎患者80例随机分组,常规治疗组患者采取常规抗感染、营养支持和吸氧等疗法治疗,经纤维支气管镜灌洗组采取常规抗感染、营养支持和吸氧等疗法+经纤维支气管镜灌洗疗法治疗。比较两组重症肺炎疗效;体温恢复到正常状态的时间、X线检查结果恢复正常的时间、血常规检查恢复正常时间、痰菌化验转阴时间;治疗前后患者肺部炎症以及肺功能。结果经纤维支气管镜灌洗组重症肺炎疗效95.00%,高于常规治疗组75.00%,差异有统计学意义(χ^(2)=6.275,P<0.05)。经纤维支气管镜灌洗组体温恢复到正常状态的时间、X线检查结果恢复正常的时间、血常规检查恢复正常时间、痰菌化验转阴时间分别为(5.24±1.21)d、(6.42±0.11)d、(6.21±1.02)d、(6.01±1.52)d,短于常规治疗组(7.77±2.21)d、(8.82±1.31)d、(8.21±2.21)d、(8.12±2.15)d,差异有统计学意义(t=6.351、11.550、5.197、5.068,P<0.05)。治疗后经纤维支气管镜灌洗组肺部炎症以及肺功能改善程度优于常规治疗组,差异有统计学意义(P<0.05)。结论常规抗感染、营养支持和吸氧等疗法+经纤维支气管镜灌洗疗法治疗重症肺炎效果良好。

Objective To explore the clinical effect of fibrobronchoscope lavage in the treatment of severe pneumonia.Methods From January 2017 to October 2019,80 patients with severe pneumonia in the hospital were conveniently selected and randomly divided into groups.Patients in the conventional treatment group were treated with conventional anti-infection,nutritional support,and oxygen inhalation,and the fiberoptic bronchofiberoscope lavage group received conventional anti-infective therapy,nutritional support,oxygen inhalation and other therapies+fiberoptic bronchoscopy lavage therapy.The curative effects of severe pneumonia were compared between the two groups;the time for body temperature to return to normal,the time for X-ray examination results to return to normal,the time for routine blood tests to return to normal,and the time for sputum tests to turn negative;lung inflammation and lung function before and after treatment.Results The efficacy of severe pneumonia in the fiberoptic bronchoscopy lavage group was 95.00%,which was higher than that of the conventional treatment group by 75.00%,the difference was statistically significant(χ^(2)=6.275,P<0.05).The time for body temperature to return to normal state,the time for X-ray examination results to return to normal state,the time for routine blood examination to return to normal,and the time for sputum test to become negative in the fiberoptic bronchoscopy lavage group were(5.24±1.21)d and(6.42±0.11)d,(6.21±1.02)d,(6.01±1.52)d,shorter than the conventional treatment group(7.77±2.21)d,(8.82±1.31)d,(8.21±2.21)d,(8.12±2.15)d,the difference was statistically significant(t=6.351,11.550,5.197,5.068,P<0.05).After treatment,the degree of pulmonary inflammation and lung function improvement in the fiberoptic bronchoscopy lavage group was better than that of the conventional treatment group,and the difference was statistically significant(P<0.05).Conclusion Conventional anti-infection,nutritional support and oxygen inhalation therapy+bronchofiberoscope lavage therapy are effective in treating severe pneumonia.