经纤维支气管镜支气管肺泡灌洗对防治重度烧伤患者肺部感染的影响  

The effect of bronchoalveolar lavage by bronchoscopy for the prevention and treatment of patients with pulmonary infection after severe burns

作　　者：李香彭[1] 毛学飞[2] 孟浩[1] 许柳柳 张柳[1] 

机构地区：[1]中国人民解放军第97医院呼吸内科,江苏徐州221004 [2]中国人民解放军第97医院南京军区烧伤整形中心,江苏徐州221004

出　　处：《徐州医学院学报》2012年第4期256-258,共3页Acta Academiae Medicinae Xuzhou

摘　　要：目的探讨重度烧伤后早期经纤维支气管镜支气管肺泡灌洗对防治肺部感染的影响。方法将75例重度烧伤患者随机分为实验组（35例）和对照组（40例）。实验组在常规治疗基础上早期采用经纤维支气管镜支气管肺泡灌洗，对照组仅予常规治疗，未予支气管肺泡灌洗。结果实验组35例患者中13例（37．14％）出现肺部感染，9例感染控制（69．23％，9／13），感染控制时间（13．1±1．4）天；对照组40例患者中29例（72．50％）出现肺部感染，10例感染控制（34．48％，10／29），感染控制时间（16．4±3．6）天。实验组感染率明显低于对照组（P〈0．01），感染控制率明显高于对照组（P〈0．05），平均感染控制时间明显短于对照组（P〈0．01）。结论经纤维支气管镜支气管肺泡灌洗能有效防治重度烧伤后并发肺部感染，具有推广和应用价值。Objective To discuss the effect of bronchoalveolar lavage by bronchoscopy for early prevention and treatment of pulmonary infection after severe bums. Methods 75 patients with severe bums were randomly divided into experimental group （ n = 35 ） and control group （ n = 40）. The experimental group received early treatment of bronchoal- veolar lavage on the basis of conventional therapy. The control group only received conventional treatment without bronchoalveolar lavage. Results Of the 35 cases in the experimental group, 13 eases （37.14%） had pulmonary infection, 9 cases of infection were controlled （69.23% ,9/13） , the time of infection control was （ 13.1± 1.4） days; Of the 40 cases in the control group, 29 cases （72.50%） had lung infection, 10 cases of infection were controlled （34.48% , 10/29）, the time of infection control was （ 16.4 ± 3.6） days. The infection rate in the experimental group was signifi- cantly lower than in the control group （P 〈 0.01 ）. The infection control rate in the experimental group was significantly higher than in the control group （ P 〈 0.05 ）. The average time of infection control in the experimental group was significantly shorter than in the control group （P 〈 0.0! ）. Conclusion Bronchoalveolar lavage by bronchoscopy can effectively prevent pulmonary infection after severe bums, with good value for promotion and application.

关 键 词：重度烧伤 肺部感染 纤维支气管镜 支气管肺泡灌洗 

分 类 号：R644[医药卫生—外科学] R561.3[医药卫生—临床医学]