纤维支气管镜肺灌洗治疗肺部感染分析  

Analysis of bronchofibroscope lung lavage in the treatment of pulmonary infection

作　　者：孙延奇[1] SUN Yan-qi(Department of Critical Care Medicine,Tengzhou Central People's Hospital,Tengzhou Shandong Province 277599,China)

机构地区：[1]滕州市中心人民医院重症医学科,山东滕州277599

出　　处：《中国城乡企业卫生》2024年第9期95-97,共3页Chinese Journal of Urban and Rural Enterprise Hygiene

摘　　要：目的探讨纤维支气管镜肺灌洗治疗肺部感染的效果,为临床积累可借鉴经验。方法选取2021年4月—2022年10月滕州市中心人民医院收治的肺部感染患者64例纳入研究,随机分为对照组和观察组各32例,对照组给予常规治疗,观察组给予纤维支气管镜肺泡灌洗治疗。比较两组患者治疗效果及各项血气指标。结果观察组患者治疗总有效率为96.88%,高于对照组患者的78.13%,差异有统计学意义(χ2=5.143,P<0.05)。干预前,两组患者动脉血氧分压(PaO_(2))、动脉二氧化碳分压(PaCO_(2))、血氧饱和度(SpO_(2))、酸碱度(pH值)以及平均动脉压(MAP)各项血气指标比较,差异均无统计学意义(P>0.05);干预后,两组患者PaO_(2)、SpO_(2)、PaCO_(2)、pH值以及MAP各项血气指标优于干预前,且观察组优于对照组,差异均有统计学意义(P<0.05)。结论对肺部感染采用纤维支气管镜肺灌洗能提高治疗效果,改善血气指标,值得临床应用。Objective To explore the effectiveness of bronchofibroscope lung lavage in treating pulmonary infections,and to accumulate valuable experience for clinical practice.Methods A total of 64 patients with pulmonary infections admitted to Tengzhou Central People's Hospital from April 2021 to October 2022 were selected for the study and randomly divided into a control group and an observation group,with 32 patients in each group.The control group received routine treatment,the observation group was given bronchofibroscope lung lavage treatment.The treatment efficacy and various blood gas indicators between two groups of patients were compared.Results The total effective rate of treatment for the observation group patients was 96.88%,which was higher than the 78.13%of the control group patients,and the difference was statistically significant(χ2=5.143,P<0.05).Before intervention,there were no statistically significant differences in various blood gas indicators such as arterial oxygen partial pressure(PaO_(2)),arterial carbon dioxide partial pressure(PaCO_(2)),oxygen saturation(SpO_(2)),pH value,and mean arterial pressure(MAP)between the two groups of patients(P>0.05);after intervention,the blood gas indicators of PaO_(2),SpO_(2),PaCO_(2),pH value and MAP in both groups of patients were better than before intervention,and the observation group was better than the control group,and the differences were statistically significant(P<0.05).Conclusion Using bronchofibroscope lung lavage for pulmonary infection could improve treatment efficacy and improve blood gas indicators,which was worthy of clinical application.

关 键 词：肺部感染 纤维支气管镜 肺灌洗 

分 类 号：R563.1[医药卫生—呼吸系统]