纤支镜在老年脑血管疾病吸入性肺炎治疗中的作用  

Value of early fiberbronchoscope alveolar wash in treating aspiration pneumonia of the elderly with cerebrovascular disease

作　　者：张铁栓[1] 齐景宪[1] 高元勋[1] 

机构地区：[1]郑州大学第二附属医院呼吸内科,郑州450014

出　　处：《中国实用神经疾病杂志》2010年第10期33-35,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨早期纤支镜肺泡灌洗对吸入性肺炎治疗的临床效果。方法回顾性分析在综合治疗的基础上早期实行纤支镜肺泡灌洗组(51例)与综合治疗组(35例)患者呼吸频率、体温、白细胞、动脉血氧分压(PaO2)及预后指标。结果治疗组呼吸频率恢复正常、体温、白细胞及动脉血氧分压升高的时间明显缩短,差异有统计学意义(P<0.01);治疗组患者有效率和预后优于对照组,肺部阴影消失时间、住院时间、病死率均低于对照组(P<0.05)。结论早期实行纤支镜肺泡灌洗能有效改善老年脑血管疾病吸入性肺炎的临床症状及预后,是一项有效的抢救措施。Objective To observe the clinical value by early fiberbronchoscope alveolar wash in treating aspiration pneumonia.Methods On the basis of comprehensive treatment,the early implementation of fiberbronchoscope alveolar wash was appwlied to treatment group （n=51）,and the combined treatment was applied to control group （n=35）.The respiratoty rate,body temperature,WBC,PaO2 and prognosis were analyzed between two groups after treatment.Results Compared with control group,the respiratory rate,body temperature,WBC were back to normal and the rising time of arterial blood oxygen pressure was significantly shortened in treatment group.The difference of effective power and prognosis of treatment group was better than control group （P0.01）.Conclusion The early implementation of fiberbronchoscope alveolar wash can improve the clinical symptoms and prognosis of the aspiration pneumonia of the elderly with cerebrovascular disease,and it is an effective rescue measure.

关 键 词：吸入性肺炎 纤支镜 肺泡灌洗 

分 类 号：R563.1[医药卫生—呼吸系统]