经纤维支气管镜肺灌洗治疗肺脓肿临床分析  

Lung lavage under fiberbronchoscope in treatment of pulmonary abscess

作　　者：张起[1] 

机构地区：[1]郑州大学附属郑州中心医院呼吸内科2病区,450000

出　　处：《国际医药卫生导报》2015年第17期2575-2577,共3页International Medicine and Health Guidance News

摘　　要：目的 探讨经纤维支气管镜肺灌洗治疗肺脓肿的临床效果及安全性.方法 选取我院2014年3月至2015年3月期间收治的急性肺脓肿患者82例作为研究对象,随机分为常规组和灌洗组,每组41例,常规组患者采用常规治疗,灌洗组患者在常规治疗基础上辅助纤维支气管镜局部冲洗治疗.结果 常规治疗组与灌洗组的有效率分别为48.78％ （20/41）和85.36％ （35/41）,差异存在统计学意义（P＜0.05）;灌洗组患者在住院时间、患者体温恢复正常时间、咳嗽咳痰消失时间、临床症状缓解时间等方面均显著优于常规组（P＜0.05）.结论 针对肺脓肿患者采取常规治疗辅助纤维支气管镜肺泡灌洗法能够显著改善患者症状,缩短治疗时间,提高治疗效果,并具备良好的安全性,值得推广应用.Objective To investigate the clinical effect and safety of lung lavage under fiberbronchoscope in the treatment of pulmonary abscess.Methods 82 patients with acute pulmonary abscess admitted into our hospital from March,2014 to March,2015 were chosen as study objects and were randomly divided into a conventional treatment group and a lavage group,41 for each group.The conventional treatment group were routinely treated;in addition,the lavage group were treated with bronchoscopy local irrigation.Results The effective rate was 48.78% （20/41） in the conventional treatment group,and was 85.36% （35/41） in the lavage group,with a statistical difference （P 〈 0.05）.The hospitalization time,body temperature recovery time,time for cough and expectoration to disappear,and clinical symptom remission time were significantly better in the lavage group than those in the conventional treatment group （P 〈 0.05）.Conclusions Conventional treatment combined with fiberbronchoscope alveolar lavage for patients with pulmonary abscess can significantly improve the symptoms,shorten treatment time,and improve the therapeutic effect and is safe and worth being generalized.

关 键 词：纤维支气管镜 肺泡灌洗 临床分析 肺脓肿 辅助治疗 

分 类 号：R563[医药卫生—呼吸系统]