纤维支气管镜吸痰联合支气管肺泡灌洗在呼吸衰竭中的应用及护理  

Application of fiberoptic bronchoscopy combined with bronchoalveolar lavage in the treatment of respiratory failure and nursing care

作　　者：陈建明[1] 金爱玲[1] 苏燕玉[1] 

机构地区：[1]广东医学院附属医院,广东湛江524001

出　　处：《齐鲁护理杂志（下旬刊）》2010年第7期1-2,共2页Journal of Qilu Nursing

摘　　要：目的:探讨纤维支气管镜吸痰及支气管肺泡灌洗在呼吸衰竭患者中的应用及护理方法。方法:将60例呼吸衰竭患者随机分为纤维支气管镜吸痰及支气管肺泡灌洗组(A组)和常规吸痰机吸痰组(B组)各30例,分析比较两组治疗前后的症状、体征及血气分析变化情况。结果:A组改善缺氧情况明显好于B组(P<0.05),肺部感染发生率及治愈时间显著低于B组(P<0.05)。结论:对呼吸衰竭患者早期应用纤维支气管镜吸痰及支气管肺泡灌洗取代常规吸痰,并给予有针对性的护理干预,可明显改善患者的缺氧情况,降低其肺部感染率,缩短治愈时间。Objective： To explore the application of fiberoptic bronchoscopy combined with bronchoalveolar lavage in the treatment of respiratory failure and nursing care. Methods ： 60 patients with respiratory failure were randomly divided into sputum aspiration with fiberoptic bronchoscopy plus bronchoalveolar lavage group （ group A, n = 30 ） and conventional sputum suction with suction machine group （ group B, rt = 30 ）. The symptoms and signs and the changes of blood gas analysis were analyzed and compared between the two groups before and after treatment. Results： The improvement of hypoxic situation was better in the group A than that in the group B （ P 〈 0.05 ） ; the incidence of pulmonary infection and healing time was significantly lower and shorter in the group A than those in the group B （ P 〈 0.05 ）. Conclusion ： Early application of fiberoptic bronehoscopy com- bined with bronchoalveolar lavage and targeted nursing intervention in the treatment of respiratory failure can evidently improve hypoxic situation of the patients, decrease the lung infection rate and shorten the healing time.

关 键 词：纤维支气管镜 呼吸衰竭 支气管肺泡灌洗 护理 

分 类 号：R473.5[医药卫生—护理学]