纤维支气管镜灌洗及局部给药治疗支气管扩张症60例疗效观察  

Observation of 60 cases bronchiectasis treatment with lavage by bronchoscopy and local medicine

作　　者：李阳轲[1] 

机构地区：[1]成都市第一人民医院呼吸内科,四川成都610041

出　　处：《四川医学》2012年第11期1972-1974,共3页Sichuan Medical Journal

摘　　要：目的观察纤支镜灌洗并局部给药庆大霉素治疗支气管扩张症的疗效。方法将60例支气管扩张症患者随机分为对照组和治疗组1、2,每组各20例。对照组常规抗感染治疗,治疗组1为单纯生理盐水支气管灌洗,治疗组2为生理盐水灌洗加局部庆大霉素灌洗。比较两组临床疗效、血气变化及平均住院日等。结果治疗组1、2的疗效优于对照组(P<0.05);治疗后治疗组1、2患者PaO2、SaO2%升高,PaCO2下降,住院日缩短,各组间比较差异均有统计学意义(P<0.05)。结论纤支镜灌洗并局部给药庆大霉素治疗支气管扩张症的疗效确切,安全可靠,简便易行,能有效降低患者住院日。Objective To observe the effect of bronchoscopic lavage and gentamicin lavage by bronchoscopy in patients of bronchiectasis.Methods Sixty patients with bronchiectasis were randomly divided into two groups.The control group was taken conventional method.On this basis,the treatment group 1 was given NS lavage by bronchoscopy,group 2 was given NS lavage and local gentamicin.Compare clinic efficacy,blood gas analysis and average length of stay in each group.Results Compared with the control group,the total effective of the treatment groups were significantly higher(P<0.05).PaO2,SaO2%,PaCO2 and average length of stay in the treatment group 1,2 were significantly improved than the control group(P<0.05).Conclusion The method of lavage by bronchoscopy and local gentamicin in bronchiectasis was curative,safe and reliable,simple and could reduce average length of stay effectively.

关 键 词：支气管扩张症 纤维支气管镜 灌洗 

分 类 号：R562.22[医药卫生—呼吸系统]