早期支气管镜肺泡灌洗对老年吸入性肺炎患者的影响  

The Effects of Early Bronchoalveolar Lavage through Bronchoscope in Elderly Patients with Aspiration Pneumonia

作　　者：黎艳聪[1] 郭超文[1] 黄秀华[1] 张杰斯 袁健志 

机构地区：[1]南方医科大学附属小榄医院,广东中山528400

出　　处：《中外医学研究》2017年第20期18-20,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨早期纤维支气管镜肺泡灌洗对老年吸入性肺炎患者的疗效。方法:将笔者所在医院2014年1月-2016年6月收治的66例诊断明确的老年吸入性肺炎患者,随机分为观察组和对照组各33例,对照组给予综合治疗,观察组在综合治疗的基础上实行早期支气管镜肺泡灌洗,观察两组患者治疗前后的一般指标(体温、呼吸频率、脉搏)、血常规及血清降钙素原、细菌检出率,并对比两组的抗生素使用时间及平均住院时间。结果:治疗后两组体温、呼吸频率、脉搏比较,均低于治疗前,观察组改善更为明显(P<0.05);治疗后两组的血白细胞及血清降钙素原均低于治疗前,观察组的血白细胞及血清降钙素原较对照组下降更为明显,差异有统计学意义(P<0.05);观察组的细菌检出率为87.78%,对照组为42.42%,差异有统计学意义(P<0.05);观察组平均抗生素使用天数(7.8±2.2)d,而对照组长达(13.5±2.6)d,差异有统计学意义(P<0.05);观察组平均住院天数(10.9±3.1)d,而对照组长达(20.7±3.5)d,差异有统计学意义(P<0.05)。结论:早期支气管肺泡灌洗能有效改善老年吸入性肺炎患者一般生命指标,提高患者的细菌检出率,且大大缩短抗生素使用时间,缩短平均住院日,有较高的临床应用价值,值得临床推广。Objective：To explore the effects of early bronchoalveolar lavage through bronchoscope in elderly patients with aspiration pneumonia.Method：This research included 66 aspiration pneumonia cases from Xiaolan Hospital affiliated to South Medical University from January 2014 to June 2016.They were separated into the observation group and the control group randomly.Patients in the control group were given usual treatments,while patients in the observation group were given usual treatments and early bronchoalveolar lavage through bronchoscope.We gathered the data of temperatures,respiration rates,pulses,the number of white blood cell and the blood level of procalcitonin.Also we marked the bacteria detection rates,the days of antibiotic use,and the hospital stays.Result：After treatment,both groups had lower temperatures,respiration rates and pulses,while the observation group had lower temperatures,respiration rates and pulses than the control group（P〈0.05）.Both groups had less white blood cells and lower blood level of procalcitonin than before treatment,while the change of the observation group was more obvious（P〈0.05）.The bacteria detection rate of the observation group was 87.78%,while the control group was 42.42%.There was a significant difference（P〈0.05）.The observation group used antibiotics for（7.8±2.2）days,while the control group was（13.5±2.6）days.There was significant difference（P〈0.05）.The hospital stay of the observation group was（10.9±3.1）days,while the control group was（20.7±3.5）days.There was a significant difference（P〈0.05）.Conclusion：Early bronchoalveolar lavage through bronchoscope in elderly patients with aspiration pneumonia can help to improve general life index,improve bacteria detection rate,use less antibiotics,and shorten the hospital stay.

关 键 词：吸入性肺炎 纤维支气管镜 肺泡灌洗 早期 

分 类 号：R563.1[医药卫生—呼吸系统]