纤维支气管镜肺泡灌洗提高COPD的疗效  

Fiber bronchoscopy alveolar lavage improving treatment effect of COPD

作　　者：吴孟烽[1] 李元广[1] 丘韶校[1] 吴娟[1] 黄彩霞[1] 

机构地区：[1]深圳市宝安区人民医院呼吸内科,广东深圳518100

出　　处：《华夏医学》2017年第1期45-47,共3页Acta Medicinae Sinica

基　　金：深圳市宝安区科技计划社会公益资助项目(2016CX186)

摘　　要：目的:探索纤维支气管镜肺泡灌洗治疗COPD合并呼吸衰竭的临床效果。方法:70例COPD合并呼吸衰竭患者随机分为观察组和对照组,每组35例。对照组患者给予传统机械通气及保守治疗,观察组患者在此基础上加用纤维支气管镜肺泡灌洗治疗。比较两组患者疗效和住院费用。结果:观察组患者治疗有效率94.3%,高于对照组68.6%,差异有统计学意义(P<0.05)。观察组患者通气时间、住院天数、住院费用低于对照组(P<0.05)。观察组患者VAP发生率和病死率低于对照组(P<0.05)。结论:纤维支气管镜肺泡清洗提高COPD合并呼吸衰竭患者的治疗效果。Objective：To explore the clinical effect of bronchoalveolar lavage in the treatment of COPD with respiratory failure.Methods：70 patients with COPD complicated with respiratory failure were randomly divided into observation group and control group,35 cases in each group.The patients in the control group were treated with traditional mechanical ventilation and conservative treatment.On this basis,the patients in the observation group were treated with bronchofiberscope lavage.The curative effect and hospitalization expenses of two groups were compared.Results：The effective rate of the observation group was 94.3%,which was higher than 68.6% of the control group,and the difference was statistically significant（P〈0.05）.The ventilation time,hospitalization days and hospitalization costs of the observation group were lower than those of the control group（P 〈 0.05）.The incidence of VAP and mortality in the observation group were lower than those in the control group（P 〈 0.05）.Conclusion：Bronchoalveolar lavage could improve the therapeutic effect of COPD combined with respiratory failure.

关 键 词：纤维支气管镜 肺泡灌洗 呼吸衰竭 慢性阻塞性肺病 

分 类 号：R563[医药卫生—呼吸系统]