纤支镜肺泡灌洗治疗脑出血术后肺部重症感染的临床研究  

Bronchoscopy Mirror Alveolar Lavage Therapy for Severe Cerebral Hemorrhage Postoperative Lung Infection of Clinical Analysis

作　　者：胡新华[1] 缪培智[1] 

机构地区：[1]上海市徐汇区中心医院重症医学,上海徐汇区200030

出　　处：《河北医学》2017年第1期88-90,共3页Hebei Medicine

基　　金：上海市科委课题;(编号:SHXH201002)

摘　　要：目的:通过分析纤支镜肺泡灌洗治疗脑出血术后肺部重症感染的症状消失时间、抗生素用药时间和有效率,探索纤支镜肺泡灌洗治疗策略的有效性。方法:对我院收治的63例脑出血术后肺部重症感染患者进行随机分组,即对照组与实验组,给予对照组常规治疗,实验组则在此基础上行纤支镜肺泡灌洗进行治疗,对比两组患者的临床疗效以及各项指标。结果:实验组患者的治疗总有效率高于对照组,且P<0.05,实验组的咳嗽咳痰消失时间、抗生素应用时间、肺部炎症基本吸收时间及患者的住院时间均明显比对照组短,且P<0.05,差异具有统计学意义。结论:对脑出血术后肺部重症感染的患者实施纤支镜肺泡灌洗进行治疗,其临床疗效显著,值得推广。Objective： To study the analysis of flexible bronchoscopy mirror alveolar lavage therapy for severe cerebral hemorrhage postoperative lung infection of clinical effect. Methods Select our hospital 63 cases of cerebral hemorrhage patients with severe lung infections after taken as the analysis object, and it is divided into control group in the experimental group according to the principle of random distribution, observe and compare the clinical curative effect of two groups of patients, and the indicators. Results After treatment, the patient＇s treatment, the total effective rate was higher than that of control group, and P 〈 0.05, the experi- mental group of cough and expectoration vanished time, antibiotics application, lung inflammation, basic ab- sorb the time and the length of hospital stay in patients were significantly shorter than the control group, and P 〈 0.05, the difference is statistically significant. Conclusion In patients with cerebral hemorrhage of severe lung infection after the implementation of flexible bronchoscopy mirror alveolar lavage treatment, the treatment effect is remarkable, suggested that clinical popularization and application.

关 键 词：脑出血 肺部重症感染 纤支镜 

分 类 号：R651.12[医药卫生—外科学] R563.1[医药卫生—临床医学]