床边纤维支气管镜支气管肺泡灌洗在难治性肺部感染中的应用  

Application of bronchoalveolar lavage by bedside bronchofibroscope in refractory pulmonary infection

作　　者：刘国华[1] 陈晓军[1] 

机构地区：[1]南京医科大学附属苏州市立医院东区呼吸科,江苏苏州215001

出　　处：《中国医药导报》2012年第29期167-168,共2页China Medical Herald

基　　金：江苏省苏州市科教兴卫青年专项基金(编号:SWQ22)

摘　　要：目的探讨床边纤维支气管镜支气管肺泡灌洗在难治性肺部感染中的应用价值。方法将60例难治性肺部感染患者随机分为治疗组和对照组,各30例。对照组采用抗感染等常规治疗,治疗组在常规治疗基础上加用纤支镜支气管肺泡灌洗治疗。治疗2周后对两组进行疗效评价。结果治疗组治愈率为73.3%,总有效率为93.3%,痰菌培养阳性率为76.7%,平均住院天数为(18.6±7.1)d;对照组治愈率为40.0%,总有效率为70.0%,痰菌培养阳性率为43.3%,平均住院天数为(25.7±7.8)d。两组比较,差异均有统计学意义(P<0.05、P<0.01)。结论纤支镜支气管肺泡灌洗治疗难治性肺部感染能提高治疗效果,缩短住院时间,值得推广。Objective To discuss the application value of bronchoalveolar lavage by bedside bronchofibroscope in refractory pulmonary infection.Methods 60 patients with refractory pulmonary infection were randomly divided into treatment group（30 cases） and control group（30 cases）.The routine therapy was used in both groups,besides this,the treatment group was added with bronchoalveolar lavage by bronchofibroscope.After treatment of 2 weeks,the clinical efficacy of the two groups was analyzed.Results The cure rate（73.3% vs 40.0%） and effective rate（93.3% vs 70.0%） in treatment group were higher than those of control group;the positive rate of sputum bacterial culture in treatment group was also higher than control group（76.7% vs 43.3%）;the average days of hospitalization in treatment group were shorter than control group [（18.6 ±7.1） d vs（25.7±7.8）],there were significant differences（P0.05,P0.01）.Conclusion The efficacy is good that bronchoalveolar lavage by bronchofibroscope in the treatment of refractory pulmonary infection,and it can shorten the length of stay,and it is worthy of promotion.

关 键 词：纤支镜 支气管肺泡灌洗 难治性肺部感染 

分 类 号：R563[医药卫生—呼吸系统]