纤维支气管镜肺泡灌洗治疗慢性阻塞性肺疾病合并肺部感染的临床效果分析  

Analysis of the Clinical Effect of Bronchoscopic Alveolar Lavage in the Treatment of Chronic Obstructive Pulmonary Disease Complicated with Pulmonary Infection

作　　者：林鸿儒 Lin Hongru(Department of Respiratory Medicine,Shandong First Rehabilitation Hospital,Linyi 276032,Shandong Province,China)

机构地区：[1]山东省第一康复医院呼吸内科,山东临沂276032

出　　处：《中国社区医师》2025年第9期48-50,共3页Chinese Community Doctors

摘　　要：目的:探究纤维支气管镜肺泡灌洗治疗慢性阻塞性肺疾病合并肺部感染的临床效果。方法:选取2022年9月—2023年9月山东省第一康复医院收治的慢性阻塞性肺疾病合并肺部感染患者100例作为研究对象,随机分为对照组和观察组,每组50例。对照组给予常规治疗,观察组在对照组基础上给予纤维支气管镜肺泡灌洗治疗。比较两组治疗效果、生命体征、临床指标。结果:观察组治疗总有效率高于对照组(P<0.001)。治疗7 d后,两组呼吸频率、心率、收缩压均降低,且观察组低于对照组(P<0.05)。观察组发热消失时间、肺啰音消失时间、痰菌培养转阴时间、痰液量减少时间、住院时间均短于对照组(P<0.001)。结论:纤维支气管镜肺泡灌洗治疗慢性阻塞性肺疾病合并肺部感染的临床效果显著,能够缓解患者症状,稳定生命体征,促进其恢复。Objective:To investigate the clinical effect of bronchoscopic alveolar lavage in the treatment of chronic obstructive pulmonary disease complicated with pulmonary infection.Methods:A total of 100 patients with chronic obstructive pulmonary disease combined with pulmonary infection admitted to the Shandong First Rehabilitation Hospital from September 2022 to September 2023 were selected as research objects and randomly divided into control group and observation group,with 50 cases in each group.The control group was given conventional treatment,and the observation group was given fibrobronchoscopic alveolar lavage on the basis of the control group.The therapeutic effect,vital signs and recovery time of the two groups were compared.Results:The total effective rate of observation group was higher than that of control group(P<0.001).After 7 days of treatment,the respiratory rate,heart rate and systolic blood pressure of both groups were decreased,and the observation group was lower than the control group(P<0.05).The absence time of fever,the absence time of pulmonary rales,the negative time of sputum culture,the reduction time of sputum volume and the length of hospital stay in the observation group were shorter than those in the control group(P<0.001).Conclusion:Fiberbronchoscopic alveolar lavage has significant clinical effect in the treatment of chronic obstructive pulmonary disease complicated with pulmonary infection,which can alleviate symptoms,stabilize vital signs and promote recovery.

关 键 词：慢性阻塞性肺疾病 肺部感染 纤维支气管镜 肺泡灌洗 

分 类 号：R563.1[医药卫生—呼吸系统] R563.9[医药卫生—内科学]