纤支镜肺灌洗联合振动排痰治疗呼吸机相关性肺炎的临床评价  

Bronchoscopy lavage combined with vibration expectoration in the treatment of ventilator-associated pneumonia.

作　　者：刘培[1] 张红梅[2] 方敏[3] 郑红梅[1] 盛春风[1] 

机构地区：[1]湖北医药学院附属太和医院重症医学科,湖北十堰442000 [2]湖北医药学院附属太和医院呼吸内科,湖北十堰442000 [3]湖北医药学院附属太和医院呼重症医学科,湖北十堰442000

出　　处：《海南医学》2013年第22期3295-3297,共3页Hainan Medical Journal

基　　金：湖北省十堰市科技攻关项目(编号:2009045D)

摘　　要：目的探讨纤支镜肺灌洗联合振动排痰治疗呼吸机相关性肺炎的临床疗效。方法 40例呼吸机相关性肺炎患者随机分为治疗组与对照组各20例。对照组常规全身抗感染治疗,治疗组在常规抗感染治疗基础上采用纤支镜肺灌洗及振动排痰治疗。结果经治疗后治疗组患者氧分压较对照组明显上升,差异有统计学意义(P<0.05);治疗组总有效率(95%)明显高于对照组(70%),差异有统计学意义(P<0.01)。结论纤支镜肺灌洗联合振动排痰仪治疗呼吸机相关性肺炎是安全有效的方法之一,具有一定的临床意义。Objective To investigate the clinical efficacy of bronchoscopy lavage combined with vibration expectoration in the treatment of ventilator-associated pneumonia.Methods Forty patients with ventilator-associated pneumonia were randomly divided into treatment group （n=20） and control group （n=20）.The control group only used the systemic anti-infective treatment,and the treatment group applied vibration expectoration combined with bronchoscopy lavage based on systemic anti-infective treatment.Results After treatment,the oxygen pressure of the treatment group increased significantly than that in the control group （P〈0.05）.The efficiency rate of treatment group was significantly higher than that in control group （P〈0.01）.Conclusion Bronehoscopy lavage combined with vibration expectoration is safe and effective in the treatment of ventilator-associated pneumonia.

关 键 词：纤支镜肺灌洗 振动排痰 呼吸机相关性肺炎 

分 类 号：R563.1[医药卫生—呼吸系统]