纤维支气管镜吸痰辅助治疗老年卒中相关性肺炎的疗效  

Efficacy of fiberoptic bronchoscopy in the treatment of stroke-associated pneumonia in the elderly

作　　者：唐容辉[1] 刘伟[2] 胡川[2] 杨溢[2] TANG Ronghui;LIU Wei;HU Chuan;YANG Yi(Department of Respiratory,Armed Police Guangdong Provincial Hospital,Guangzhou,Guangdong,510655,China;Department of Geriatrics,Armed Police Guangdong Provincial Hospital,Guangzhou,Guangdong,510655,China)

机构地区：[1]武警广东省总队医院呼吸内科,广东广州510655 [2]武警广东省总队医院老年科,广东广州510655

出　　处：《当代医学》2021年第1期92-94,共3页Contemporary Medicine

摘　　要：目的探讨在老年卒中相关性肺炎治疗中采用纤维支气管镜吸痰辅助治疗的方法及疗效。方法选取2016年1月至2019年1月本院收治的老年卒中相关性肺炎患者40例,随机分为两组,各20例。对照组采用常规吸痰管治疗,观察组采用纤维支气管镜吸痰辅助治疗,观察两组吸痰次数、抗生素使用时间及住院时间,评价治疗效果及肺部感染改善效果。结果观察组每日吸痰次数、抗生素使用时间、住院时间均显著短于对照组,且治疗3 d、7 d CPIS评分明显低于对照组(P<0.05)。观察组治疗有效率为95.00%,显著高于对照组的70.00%(P<0.05)。两组不良反应发生率比较差异无统计学意义。结论应用纤维支气管镜吸痰辅助治疗老年卒中相关性肺炎患者,有利于尽快缓解患者感染症状,减少吸痰次数及抗生素的应用,利于患者恢复正常体征,缩短住院时间,治疗价值较高。Objective To study the method and effect of bronchoscopic sputum suction in the treatment of senile stroke-related pneumonia.Methods The data of 40 cases of elderly patients with stroke associated pneumonia from January 2016 to January 2019 were randomly divided into20 cases,and the control group was treated with conventional sputum suction tube.The time of antibiotic use and the time of hospitalization,the effect of treatment and the improvement of pulmonary infection were evaluated.Results The number of sputum aspiration,the time of antibiotic use and the hospital stay were significantly lower in the observation group.The score of 7 d CPIS was significantly lower in the treatment group than in the control group(P<0.05).The effective rate of the observation group was 95.00%,which was significantly higher than that of the control group(70.00%,P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups.Conclusion In the treatment of elderly patients with stroke-related pneumonia,the application of the treatment of the bronchoscope-assisted sputum-assisted treatment is beneficial to the relief of the patient’s infection symptoms as soon as possible,reduce the number of sputum suction and the application of antibiotics,benefit the patient’s normal sign,shorten the hospital stay time,and the treatment value is high.

关 键 词：卒中相关性肺炎 纤维支气管镜吸痰辅助 抗生素 肺部感染 

分 类 号：R563.1[医药卫生—呼吸系统] R743.3[医药卫生—内科学]