振动排痰联合纤维支气管镜肺泡灌洗应用于重症肺炎机械通气治疗的效果分析  

Analysis of the Effect of Vibration Sputum Drainage Combined with Bronchoscopy Alveolar Lavage in the Treatment of Severe Pneumonia with Mechanical Ventilation

作　　者：林丹 王美新[1] 张道敏[1] LIN Dan;WANG Mei-xin;ZHANG Dao-min(The First Affiliated Hospital of Fujian Medical University,Fujian Fuzhou 350000)

机构地区：[1]福建医科大学附属第一医院,福建福州350000

出　　处：《中国医疗器械信息》2024年第12期22-24,44,共4页China Medical Device Information

摘　　要：目的:探究颅脑损伤后重症肺炎机械通气患者采用振动排痰联合纤维支气管镜肺泡灌洗的临床疗效。方法:择取2021年3月~2022年6月本院神经外科ICU80例颅脑损伤后重症肺炎机械通气患者,依据随机数字表法分为两组,各40例。对照组实施纤维支气管镜肺泡灌洗,观察组同时联合振动排痰,分析两组机体恢复时间、炎症反应、T淋巴细胞亚群指标、不良反应发生率、总有效率、肺功能指标。结果:治疗前,两组炎症反应、T淋巴细胞亚群指标、不良反应发生率、总有效率、肺功能指标无可比性(P>0.05);治疗后,两组机体恢复时间、炎症反应、T淋巴细胞亚群指标、不良反应发生率、总有效率、肺功能指标比较有统计学意义(P<0.05)。结论:在颅脑损伤后重症肺炎患者机械通气时,振动排痰联合纤维支气管镜肺泡灌洗凸显出了较好的治疗效果,可减轻炎症反应,提高肺功能,加快机体恢复。Objective:To explore the clinical efficacy of vibration sputum ejection combined with bronchoscopy lung lavage in mechanically ventilated patients with severe pneumonia after head injury.Methods:From March 2021 to June 2022,ICU80 patients with severe pneumonia after head injury and mechanical ventilation in a neurosurgery department of a tertiary hospital in Fuzhou were selected and divided into two groups based on a random number table method,with 40 patients in each group.The control group received bronchoscopy bronchoalveolar lavage,while the observation group received vibration sputum excretion.The recovery time,inflammatory response,T lymphocyte subpopulation indicators,incidence of adverse reactions,total effective rate,and lung function indicators of the two groups were analyzed.Results:Before treatment,there was no comparability between the two groups in terms of inflammatory response,T lymphocyte subpopulation indicators,incidence of adverse reactions,total effective rate,and lung function indicators(P>0.05);After treatment,the recovery time,inflammatory response,T lymphocyte subpopulation indicators,incidence of adverse reactions,total effective rate,and lung function indicators of both groups(P<0.05).Conclusion:During mechanical ventilation in patients with severe pneumonia after craniocerebral injury,the combination of vibration sputum excretion and bronchoscopy alveolar lavage highlights a good therapeutic effect,which can reduce inflammatory reactions,improve lung function,and accelerate body recovery.

关 键 词：重症肺炎 机械通气 振动排痰 纤维支气管镜肺泡灌洗 

分 类 号：R563.1[医药卫生—呼吸系统]