电子支气管镜治疗手术后急性肺不张的临床效果  

Clinical effect of electronic bronchoscope in the treatment of acute atelectasis after operation

作　　者：薛肖雷 李蔚[2] 杨蓉[2] 王小梅 XUE Xiao-lei;LI Wei;YANG Rong;WANG Xiao-mei(Thoracic Surgery Department,Baoji Central Hospital,Baoji 721008,China;Respiratory Medicine Department,Baoji Central Hospital,Baoji 721008,China)

机构地区：[1]宝鸡市中心医院胸外科,陕西宝鸡721008 [2]宝鸡市中心医院呼吸内科,陕西宝鸡721008

出　　处：《临床医学研究与实践》2019年第22期46-48,共3页Clinical Research and Practice

摘　　要：目的探究电子支气管镜治疗手术后急性肺不张的临床效果及对患者肺功能的影响。方法选取2015年7月至2018年6月我院收治的手术后急性肺不张患者64例为研究对象,按照住院号尾数单双号分组法将其分为对照组和观察组,各32例。对照组采用常规气管切开经导管吸除阻塞物,观察组采用电子支气管镜清除阻塞物。比较两组FVC、FEV1、FEV1%、FEV1/FVC、PaO2、PaCO2、SaO2、pH。结果治疗前,两组FVC、FEV1、FEV1%、FEV1/FVC比较,差异无统计学意义(P>0.05);治疗后,两组FVC、FEV1、FEV1%、FEV1/FVC均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05)。治疗前,两组患者PaO2、PaCO2、SaO2、pH比较,差异无统计学意义(P>0.05);治疗后,观察组PaO2、PaCO2、SaO2均优于对照组及治疗前,差异有统计学意义(P<0.05)。结论电子支气管镜治疗手术后急性肺不张的临床效果明显,可以有效改善患者的血气分析指标,促进患者肺功能的恢复,对患者的创伤小、安全性较高,值得临床推广与应用。Objective To explore the clinical effect of electronic bronchoscope in the treatment of acute atelectasis after operation and its effect on the pulmonary function of patients.Methods A total of 64 patients with acute atelectasis after operation in our hospital from July 2015 to June 2018 were selected as the study objects and divided into control group and observation group according to the single or double grouping method of the tail number of hospitalization numbers,with 32 cases in each group.The control group was treated with routine tracheotomy to remove obstructions through catheter,while the observation group was treated with electronic bronchoscope to remove obstructions.The FVC,FEV1,FEV1%,FEV1/FVC,PaO2,PaCO2,SaO2 and pH were compared between the two groups.Results Before treatment,there were no significant differences in FVC,FEV1,FEV1 and FEV1/FVC between the two groups(P>0.05);after treatment,the FVC,FEV1,FEV1%and FEV1/FVC of the two groups were higher than before treatment,and those in the observation group were higher than the control group,and the differences were statistically significant(P<0.05).Before treatment,there were no significant differences in PaO2,PaCO2,SaO2 and pH between the two groups(P>0.05);after treatment,PaO2,PaCO2 and SaO2 in the observation group were better than those in the control group and before treatment,and the differences were statistically significant(P<0.05).Conclusion Electronic bronchoscope in the treatment of acute atelectasis after operation has a obvious clinical effect,it can effectively improve the blood gas analysis index of patients and promote the recovery of lung function,has less trauma and higher safety for patients,which is worthy of clinical promotion and application.

关 键 词：电子支气管镜 急性肺不张 肺功能 

分 类 号：R619[医药卫生—外科学]