纤维支气管镜辅助治疗重症肺炎的临床效果研究  

Clinical Effect of Fiberoptic Bronchoscopy in the Treatment of Severe Pneumonia

作　　者：伍荣乐 谭先念 郑志忠 WU Rongle;TAN Xiannian;ZHENG Zhizhong(Department of Critical Medicine,Taishan People's Hospital,Taishan Guangdong 529200,China)

机构地区：[1]台山市人民医院重症医学科,广东台山529200

出　　处：《中国卫生标准管理》2023年第5期85-89,共5页China Health Standard Management

基　　金：广东省江门市科技计划项目(2021YL09018)。

摘　　要：目的探讨纤维支气管镜辅助治疗重症肺炎的临床效果。方法收集整理2017年6月—2021年1月于台山市人民医院诊疗的60例重症肺炎患者数据,遵循随机数字表法均分为两组(参照组、研究组,各30例)。参照组患者给予常规治疗,研究组患者在常规治疗的基础上加以纤维支气管镜辅助治疗,统计整合60例患者与治疗的关联性数据进行数据对比。结果治疗前研究组与参照组血气分析变化差异无统计学意义(P>0.05)。治疗后研究组血气分析变化结果数值明显优于参照组,差异有统计学意义(P<0.05)。治疗前研究组与参照组的最大呼气后的第1秒的呼气量(forced expiratory volume in one second,FEV1)、强制每分钟通气(mandatory minute ventilation,MMV)、肺总量(total lung capacity,TLC)、功能残气量(functional residual capacity,FRC)差异无统计学意义(P>0.05)。治疗后研究组最大呼气后FEV1、MMV、TLC、FRC数值明显高于参照组数值,差异有统计学意义(P<0.05)。研究组治疗总有效率为96.66%明显高于参照组的70.00%,差异有统计学意义(P<0.05)。结论应用纤维支气管镜辅助治疗重症肺炎,能够有效减轻炎症症状,改善患者肺部功能,提高治疗有效率。Objective To investigate the clinical effect of fiberoptic bronchoscopy in the treatment of severe pneumonia.Methods The data of 60 patients with severe pneumonia treated in Taishan People's Hospital from June 2017 to January 2021 were collected and sorted,and were divided into two groups(reference group and study group,30 cases each)according to random number table method.Patients in the reference group were given conventional treatment,while those in the study group were given auxiliary treatment with fiberoptic bronchoscopy on the basis of conventional treatment.The correlation data of 60 patients and treatment were statistically integrated for data comparison.Results Before treatment,there was no significant difference in blood gas analysis between the study group and the reference group(P>0.05).After treatment,the change values of blood gas analysis in the study group were significantly better than those in the reference group,and the difference was statistically significant(P<0.05).Forced expiratory volume in one second(FEV1),mandatory minute ventilation(MMV),total lung capacity(TLC)and functional residual capacity(FRC)(P>0.05).FEV1,MMV,TLC and FRC were significantly higher than those of the reference group(P<0.05).The total effective rate of 96.66%in the study group was significantly higher than 70.00%in the reference group and the difference was statistically significant(P<0.05).Conclusion The application of fiberoptic bronchoscopy in the treatment of severe pneumonia can effectively reduce the inflammatory symptoms and improve the lung function of patients,improve the effective rate of treatment.

关 键 词：纤维支气管镜 辅助治疗 重症肺炎 炎性因子 抗感染治疗 肺功能 

分 类 号：R563[医药卫生—呼吸系统]