纤维支气管镜吸痰对全肺切除术后心衰的疗效评价

王晓东，李微，马炜

（陕西省商洛市第二人民医院心内科，陕西 商洛，726000）

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摘要：

目的 研究纤维支气管镜吸痰对全肺切除术后心衰治疗的临床治疗效果，为临床治疗提供依据。方法 选取2015年1月至2016年5月我院诊治的开胸全肺切除术后并发心衰患者180 例，根据治疗方式不同将患者分为对照组（90 例）和观察组（90 例）。对照组患者采用常规方法治疗，观察组患者采用纤维支气管镜吸痰治疗，比较两组患者的治疗效果。结果 观察组患者的治 疗总有效率为93.3%，明显高于对照组的80.0%（P<0.05）。观察组治疗后的心率、呼吸频率显著低于对照组，心指数、PaO2、SaO2 水平显著高于对照组（P<0.05）。结论 开胸全肺切除术后并发心衰患者采用纤维支气管镜吸痰治疗效果理想，值得推广应用。

关键词：纤维支气管镜吸痰；全肺切除术；心衰

中图分类号：R734.2文献标志码：A文章编号：2096-1413(2017)34-0033-02

Clinical effect evaluation of bronchofibroscope sputum suction on heart failure after pneumonectomy
WANG Xiao-dong, LI Wei, MA Wei
(Cardiology Department, Shangluo No.2 Provincial People``s Hospital, Shangluo 726000, China)

ABSTRACT: Objective To study the clinical effect of broncho fibroscope sputum suction on heart failure after pneumonectomy, to provide the basis for clinical treatment. Methods From January 2015 to May 2016, 180 cases of heart failure after open pneumonectomy were selected and grouped into control group (90 cases) and observation group (90 cases). The control group was treated with conventional treatment, and the observation group received bronchofibroscope sputum suction treatment. The treatment effects of the two groups were compared. Results The total effective rate of the observation group was 93.3%, which was significantly higher than 80.0% of the control group (P<0.05). After treatment, the heart rate, respiratory rate in the observation group were significantly lower than those of the control group, the levels of heart index, PaO2, SaO2 were significantly higher than those of the control group (P<0.05). Conclusion Bronchofibroscope sputum suction has ideal effect on heart failure after pneumonectomy, which is worthy of promoton and application.

KEYWORDS: bronchofibroscope sputum suction; pneumonectomy; heart failure

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