纤维支气管镜应用于急危重症合并严重肺部感染患者的治疗效果

李静1 ，尤文岗2

（榆林市第二医院：1.重症医学科；2.药剂科，陕西 榆林，719000）

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摘要：

目的 探讨急危重症合并严重肺部感染患者运用纤维支气管镜治疗的临床效果。方法 选择2015年1月至2016年12月我院收治的急危重症合并严重肺部感染患者90例为研究对象，随机分为对照组和观察组，每组45例。对照组给予常规治疗，观察组在此基础上采用纤维支气管镜治疗。比较两组患者治疗效果、C反应蛋白（CRP）及动脉血气分析各指标水平和各临床症状改善时间。结果 观察组的CRP、SaO₂、PaCO₂ 及PaO₂ 水平均明显优于对照组，差异具有统计学意义（P<0.05）。观察组患者的治疗总有效率明显高于对照组（P<0.05）。观察组患者的肺部啰音消失、体温降至37.5 °C 以下、痰菌培养转阴及痰液减少时间均明显短于对照组（P<0.05）。结论 纤维支气管镜应用于急危重症合并严重肺部感染治疗，临床效果显著。

关键词：支气管肺泡灌注；肺部感染；纤维支气管镜

中图分类号：R563.1文献标志码：A文章编号：2096-1413(2017)34-0043-02

Therapeutic efficacy of fiberoptic bronchoscopy in acute and critical patients with severe pulmonary infection
LI Jing 1, YOU Wen-gang 2
(1. Intensive Care Unit; 2. Pharmacy Department, Yulin No.2 Hospital, Yulin 719000, China)

ABSTRACT: Objective To study the therapeutic efficacy of fiberoptic bronchoscopy in acute and critical patients with severe pulmonary infection. Methods From January 2015 to December 2016, 90 cases of acute and critical patients with severe pulmonary infection admitted in our hospital were selected as the research objects, and all the patients were randomly divided into control group and observation group, with 45 cases in each group. The control group was given routine treatment, the observation group was given fiberoptic bronchoscopy based on the control group. The treatment effects, CRP and arterial blood gas indexes levels and ameliorative time of clinical symptoms were compared between the two groups. Results The levels of CRP, SaO₂, PaCO₂ and PaO₂ in the observation group were significantly higher than those in the control group (P<0.05). The total effective rate of the observation group was significantly higher than that of the control group (P<0.05). The disappearance time of pulmonary rales, the time of temperature dropped to 37.5 °C or less, the phlegm culture turns negative and phlegm reduces time in the observation group were significantly shorter than those in the control group (P<0.05). Conclusion The therapeutic efficacy of fiberoptic bronchoscopy in acute and critical patients with severe pulmonary infection is remarkable.
KEYWORDS: bronchoalveolar perfusion; lung infection; fiberoptic bronchoscopy

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