重症肺部感染患者应用纤维支气管镜灌洗吸痰的观察与护理

Observation and nursing care of patients with severe pulmonary infection treated with bronchoalveolar lavage

目的探究重症肺部感染患者应用纤维支气管镜灌洗吸痰的观察与护理。方法选2020年5月~2021年5月本院收治的重症肺部感染患者500例,将研究对象随机分为观察组与对照组,各250例,对照组采取常规吸痰,观察组采取用纤维支气管镜灌洗吸痰。比较两组患者动脉血气指标和治疗有效率。结果观察组PaO_(2)、SaO_(2)和pH值均显著高于对照组,观察组PaCO_(2)显著低于对照组(P均<0.05)。观察组治疗有效率显著高于对照组(P<0.05)。结论纤维支气管镜吸痰治疗重症肺部感染比常规治疗更有效,值得在临床上推广应用。

Objective To explore the observation and nursing of sputum suction by fiberoptic bronchoscopy in patients with severe pulmonary infection.Methods 500 patients with severe pulmonary infection admitted to our hospital from May 2020 to May 2021 were randomly divided into observation group and control group,with 250 cases in each group.The control group was given routine sputum suction,and the observation group was given bronchoalveolar lavage.Arterial blood gas indexes and treatment efficiency were compared between the two groups.Results PaO_(2),SaO_(2) and pH values in the observation group were significantly higher than those in the control group,and PaCO_(2) in the observation group was significantly lower than that in the control group(P<0.05).The effective rate of the observation group was significantly higher than that of the control group(P<0.05).Conclusion Fiberoptic bronchoscopy is more effective than conventional therapy in the treatment of severe pulmonary infection,which is worthy of clinical application.