经纤维支气管镜灌洗治疗重症肺炎临床疗效探讨

Clinical efficacy of bronchoalveolar lavage in the treatment of severe pneumonia

目的:分析经纤维支气管镜灌洗治疗重症肺炎患者的效果。方法:从2014年4月—2017年2月我科收治重症肺炎患者中随机抽取基础疗法42例作为对照组,纤维支气管镜灌洗疗法42例作为观察组,评定患者的治疗结果。结果:观察组好转率为92.9%(39/42),病死率为9.5%(4/42)。对照组好转率为71.4%(30/42),病死率为28.6%(12/42),统计有意义(P<0.05);在患者感染控制时间、住院时间上,观察组、对照组统计也有意义(P<0.05)。结论:给予重症肺炎患者纤维支气管镜灌洗,能降低病死率,提高治疗结果,值得推广。

Objective To analyze the effect of bronchoalveolar lavage in the treatment of patients with severe pneumonia.Methods Randomly selected from April 2014-2017 year in February the basic therapy in our hospital from patients with severe pneumonia in 42 cases as control group, bronchoscopy lavage therapy in 42 cases as the observation group, the treatment results were evaluated with the. Results The improvement rate of the observation group was 92.9%(39/42), and the fatality rate was 9.5%(4/42). The control group cure rate was 71.4%(30/42), the mortality rate was 28.6%(12/42),statistical significance(P<0.05); in patients with infection control time, hospitalization time, the observation group and the control group had statistical significance(P<0.05). Conclusion Fiberoptic bronchoscopy lavage for severe pneumonia patients can reduce the mortality and improve the treatment results, which is worthy of promotion.