纤维支气管镜灌洗吸痰预防吸烟者肺切除术后肺部感染的研究  

Precautionary effects of drawing sputum by bronchofiberscopy and bronchoalveolar lavage in smokers′ pulmonary infection after pneumonectomy

作　　者：王英禹[1] 张瑞[1] 周勇安[1] 程庆书[1] 孙晓雁[1] 

机构地区：[1]第四军医大学唐都医院胸腔外科,陕西西安710038

出　　处：《中国内镜杂志》2007年第6期593-595,共3页China Journal of Endoscopy

摘　　要：目的探讨纤维支气管镜吸痰和支气管肺泡灌注对吸烟者肺切除术后肺部感染的预防作用。方法将132例肺切除术后吸烟患者根据术前吸烟量大小,分为A、B两组,每组再随机各分为A1、A2和B1、B2组,其中A1、B1组术后第1～5天进行纤支镜吸痰和支气管肺泡灌注治疗,A2、B2组单纯常规治疗。观察患者术后是否发生肺部感染。结果吸烟量大的患者术后肺部感染发生率高(P<0.05),常规治疗组(A2、B2)术后肺部感染发生率高于纤支镜治疗组(P<0.05)。结论纤维支气管镜吸痰和支气管肺泡灌注治疗对肺切除术后患者肺部感染有预防作用。[Objective] To study precautionary effects of drawing sputum by bronehofiberseopy and bronehoalveolar lavage in smokers＇ pulmonary infection after pneumoneetomy. [Methods] 132 smokers were devided into A group and B group according quantity of cigarette consuming per day, each group was splitted into 2 sub-groups A1, A2 and B1, B2, randomly. Group A1 and B1 were drawn sputum by bronehofiberseopy and bronehoalveolar lavage after pneumoneetomy, whereas groups A2 and B2 were treated with routine methods. The happening of pulmonary infection in each group was observed. [Results] The heavier smokers more likely got pulmonary infection after pneumonectomy （P 〈0.05）. Compared with routine 1 treatment, drawing sputum by bronchofiberscopy and bronchoalveol,ar lavage could reduce the happening of pulmonary infection in smokers after pneumonectomy （P 〈0.05）. [Conclusions] Drawing sputum by bronchofiberscopy and bronchoalveolar lavage had precautionary effects in smokers＇ pulmonary infection after pneumonectomy.

关 键 词：纤维支气管镜 支气管肺部灌洗 肺部感染 肺切除术 

分 类 号：R768.1[医药卫生—耳鼻咽喉科]