床旁超声联合支气管镜在被动卧床肺炎患者住院管理评估指标中的价值  

Value of bedside ultrasound combined with bronchoscopy in the index evaluation of inpatient management for bedridden patients with pneumonia

作　　者：申严[1] 杨普查 卓宋明[1] SHEN Yan;YANG Pucha;ZHUO Songming(Department of Respiratory and Critical Care Medicine,Longgang Central Hospital,Shenzhen 518116,China)

机构地区：[1]深圳市龙岗中心医院呼吸与危重症医学科

出　　处：《中国医学物理学杂志》2019年第8期933-937,共5页Chinese Journal of Medical Physics

摘　　要：目的:探讨床旁超声联合支气管镜检查在被动卧床肺炎患者住院管理评估指标中的价值。方法:将符合标准的40例患者随机分为对照组和观察组,每组各20例。对照组在住院期间辅以常规检验、检查评估感染控制情况并以之协助判断可否出院;观察组在对照组基础上增加床旁肺脏超声及支气管镜检查协助评估出院。统计并比较两组的住院天数、住院费用、抗生素使用情况、30 d内再入院率。结果:观察组检查费高于对照组,但住院天数及总住院费用均低于对照组(P<0.05),观察组抗生素费用低于对照组(P<0.05),两组患者均未出现30 d内再入院情况。结论:对被动卧床时间相对较长的肺炎患者,在常规采用临床症状、体征、检验和检查评估患者感染控制情况的基础上,如联合床旁超声及支气管镜检查可有效减少患者住院天数、住院费用及抗生素使用,且未增加患者30 d内再入院率。Objective To explore the value of bedside ultrasound combined with bronchoscopy in the index evaluation of inpatient management for patients with pneumonia who have to stay in bed.Methods Forty patients who met the criteria were randomly divided into control group and observation group,with 20 cases in each group.In control group,routine tests and examinations during hospitalization were adopted to assist in the evaluation of infection control and the determination of whether the patient can be discharged.In observation group,besides routine tests and examinations,bedside pulmonary ultrasound and bronchoscopy was also used to assist in the determination of whether the patient can be discharged.The hospital stay,hospitalization expense,the use of antibiotics,re-admission rate within 30 days in two groups were statistically analyzed and compared.Results Compared with control group,observation group had a higher examination cost,but a shorter length of hospital stay and lower hospitalization expenses,and the differences were statistically significant(P<0.05).The cost of antibiotics in observation group were lower than that in control group,and the difference was statistically significant(P<0.05).There was no re-admission within 30 days in either group.Conclusion For patients with pneumonia who have to stay in bed for a relatively long time,on the basis of the routine evaluation of the infection control with clinical symptoms,signs,tests and examinations,combining bedside ultrasound and bronchoscopy can effectively reduce the length of hospital stay,hospitalization expense and the use of antibiotics,without increasing re-admission rate within 30 days.

关 键 词：超声 支气管镜 肺炎 卧床 住院管理 

分 类 号：R445[医药卫生—影像医学与核医学] R563.1[医药卫生—诊断学]