床旁纤支镜吸痰及肺泡灌洗在老年卒中相关性肺炎治疗中的效果观察  

Effect of Bedside Bronchoscopy Sputum Suction and Alveolar Lavage in the Treatment of Elderly Patients with Stroke Associated Pneumonia

作　　者：许名远[1] 钟林清[1] 龚振斌[1] 韩芳朵[1] 

机构地区：[1]福建医科大学附属闽东医院,福建福安355000

出　　处：《中外医学研究》2016年第36期13-14,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨床旁纤支镜吸痰及肺泡灌洗在老年卒中相关性肺炎治疗中的效果。方法:本次研究的80例对象均为笔者所在医院2014年4月-2016年8月收治的老年卒中相关性肺炎病例,按照双色球分组法将其分为两组。接受常规治疗的40例患者归入对照组,接受床旁纤支镜吸痰及肺泡灌洗的40例患者归入观察组。治疗结束后,记录两组患者治疗情况,比较两组患者抗生素药物使用时间、住院时间、住院费用等情况。结果:治疗结束后,观察组患者治疗总有效率90.0%,对照组治疗总有效率77.5%,差异有统计学意义(P<0.05)。观察组抗生素使用时间、住院时间、住院费用等均显著优于对照组,差异有统计学意义(P<0.05)。结论:老年卒中相关性肺炎的病情较重,通过采取床旁纤支镜吸痰及肺泡灌洗的方式可显著缓解患者症状,缩短住院时间,改善预后,值得推广。Objective：To investigate the effect of bedside bronchoscopy sputum suction and alveolar lavage in the treatment of elderly patients with stroke associated pneumonia.Method：80 cases of bedside bronchoscopy the research subjects were admitted in our hospital during period of April 2014-August 2016,and divided into two groups according to the double chromosphere packet.40 patients in the control group were treated with conventional therapy,and 40 patients in the observation group received bedside bronchoscopy and bronchoalveolar lavage.At the end of treatment,the treatment effect of the two groups were recorded,the use of antimicrobial agents,hospitalization time,hospital costs and other aspects of the two groups were compared.Result：After the treatment,the total effective rate of the observation group was 90.0%,and the control group was 77.5%,the difference was statistically significant（P〈0.05）.On the time of antibiotics use,hospitalization time,cost of hospitalization,the observation group were significantly better than the control group,the differences were statistically significant（P〈0.05）.Conclusion：The elderly patients with stroke associated pneumonia is a severe disease,by taking the way of bed bronchoscopy and sputum suction and alveolar lavage can significantly improve the symptoms of patients,shorten the hospital stay, improve the prognosis.It is worth promoting.

关 键 词：老年卒中相关性肺炎 床旁纤支镜 吸痰 肺泡灌洗 

分 类 号：R563.1[医药卫生—呼吸系统] R743.3[医药卫生—内科学]