经纤支镜支气管肺泡灌洗方法治疗严重肺部感染分析  

Analysis of bronchoscopic bronchoalveolar lavage method in the treatment of severe pulmonary infection

作　　者：叶钧强 

机构地区：[1]广东省河源市人民医院内一科,广东河源517000

出　　处：《中国现代医生》2013年第6期120-121,123,共3页China Modern Doctor

摘　　要：目的探讨经纤支镜支气管肺泡灌洗方法对治疗严重肺部感染的疗效,并对其应用于临床进行评价。方法选取我院确诊为肺部感染的患者750例作为研究对象,并依据不同处理方法均将其分成灌洗组和对照组。对照组进行常规治疗,灌洗组除采取全身抗感染治疗外,还使用经纤支镜监测吸痰及灌洗。治疗后比较两组的治疗效果并进行统计分析。结果经过治疗,灌洗组治愈225例,好转120例,无效30例,治愈率达60%,有效率达92%;对照组治愈120例,好转135例,无效120例,治愈率为32%,有效率为68%,两组比较差异有统计学意义(P<0.05)。结论采用经纤支镜支气管肺泡灌洗方法治疗严重肺部感染疗效显著,且安全方便,并发症少,值得在临床中大力推广。Objective To investigate the value of efficacy of the lung infections by bronchoalveolar lavage with fiber- bronchoscope. Methods Selecting the 750 patients of our hospital for the research object ,and they were randomly di- vided into control and experimental groups. Experimental group, in addition to conventional therapy, were also used by bronchoscopy lavage. Control group with conventional therapy. We conducted a statistical analysis of the therapeutic effect of the two groups. Results Experimental group were cured 225 cases, 120 cases improved, invalid 30 cases, 60% cure rate and effective rate of 92%; Control group were cured 120 cases were cured, 135 cases improved, invaIid 120 cases, 32% cure rate and effective rate of 68%. By comparing the efficiency of the two groups, we found signifi- cant differences between them（P 〈 0. 05）. Conclusion By bronchoscopy with bronchoalveolar lavage treatment of seri- ous lung infections are very effective, and fewer complications in the treatment. So, the method is positive in the clini- cal application.

关 键 词：重症肺炎 支气管镜检查 支气管肺泡灌洗 感染 

分 类 号：R563.1[医药卫生—呼吸系统]