支气管灌洗治疗重症高血压脑出血并肺部感染的临床研究

Clinical Study of Broncho-Lavage in Treatment of Lung Infection After Severe Hypertensive Cerebral Hemorrhage

目的 :探讨支气管灌洗对重症高血压脑出血并肺部感染的疗效。方法 :选择GCS4～ 8分重症高血压脑出血并肺部感染已行气管切开患者 76例 ,随机选 38例 (实验组 )加行支气管灌洗 ,另 38例 (对照组 )未予支气管灌洗。两组患者其他治疗措施均基本相同。结果 :实验组有 34例感染控制 ,感染控制时间 (8.4± 2 .3)d ;对照组有 2 6例感染控制 ,感染控制时间 (14 .6± 3.1)d。实验组肺部感染控制率显著高于对照组 (P <0 .0 5 ) ,而控制感染平均时间显著短于对照组 (P <0 .0 5 )。结论 :早期支气管灌洗能有效治疗重症高血压脑出血并肺部感染 。

Objective:To study the therapeutic efficacy of broncho avage in lung infection after severe hypertensive cerebral hemorrhage.Methods:All 76 patients with lung infection after severe hypertensive cerebral hemorrhage(Glasgow coma scale score of 8 or less on admission)were randomly divided into experimental group(38 cases)and control group(38 cases).The experimental group was treated by broncho lavage and the control group treated without broncho lavage.Results:Thirty four cases of lung infection were controlled in the experimental group but only 26 cases were in the control group.There was a significant difference between the two groups( P < 0.05 ).The time of lung infection taken for control in the experimental group was shorter than that in control( P <0.05).Conclusion:The effect of patients with lung infection after severe hypertensive cerebral hemorrhage can be improved by administration broncho lavage and deserves further clinical applications.