纤维支气管镜肺泡灌洗治疗老年重度肺部感染伴肺不张的临床疗效

doi:10.3969/j.issn.1006-6233.2017.06.011

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摘要 目的: 观察纤维支气管镜肺泡灌洗治疗老年重度肺部感染伴肺不张的临床效果,探讨治疗老年重度肺部感染伴肺不张的有效治疗措施。方法: 选择同期重度肺部感染伴肺不张的老年患者70例,在患者自行选择情况下,均分为对照组与观察组,对照组采取常规抗炎治疗与辅助治疗,观察组在此基础上加行纤维支气管镜肺泡灌洗治疗,比较两组患者治疗1周后血气指标的变化、临床症状及相关治疗经历时间、临床疗效以及出院4周后出现的后遗症。结果: 治疗1周后观察组血气指标显著优于对照组(P<0.05);临床症状及相关治疗时间明显短于对照组(P<0.05);临床治疗满意率显著高于对照组(P<0.05);出院4周后出现的后遗症例数显著少于对照组(P<0.05)。结论: 在老年重度肺部感染伴肺不张的治疗过程中应积极加行纤维支气管镜肺泡灌洗治疗,可提高临床疗效,促进患者的恢复,减少治疗后的后遗症。

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	许佑冬
	周树生

关键词 ：纤维支气管镜肺泡灌洗, 老年, 重度感染, 肺不张

Abstract：Objective: To observe the clinical effect of lung lavage by bronchofibroscope in the treatment of elderly severe pulmonary infection patients with atelectasis and explore the effective treatment measures. Method: 70 cases elderly severe pulmonary infection patients at the same time were selected and divided into control group and observation group. The control group was treated with conventional anti-inflammatory therapy and adjuvant therapy. The observation group was added with lung lavage by bronchofibroscope. Compared with the changes of blood gas index after one week's treatment, the clinical symptoms and related treatment experience time, the clinical curative effect and the sequelae after four weeks of discharge. Results: After one week treatment the blood gas index of observation group were significantly better than those of control group (P<0.05). The time of clinical symptoms disappearance and related treatment were significantly shorter than that of the control group (P<0.05). The satisfaction rate of clinical treatment was significantly higher than that of the control group (P< 0.05). The number of sequelae after discharge four weeks was significantly less than that of the control group (P<0.05). Conclusion: In treating elderly severe pulmonary infection patients with atelectasis, it should be actively added treatment of lung lavage by bronchofibroscope. And it could improve the clinical efficacy, promote the recovery of patients and reduce the sequelae after treatment.

Key words： Lung lavage by bronchofibroscope Elderly Severe infection Atelectasis

基金资助:安徽省自然科学基金项目,(编号:1608085MH214)

通讯作者: 周树生

引用本文:

许佑冬, 周树生. 纤维支气管镜肺泡灌洗治疗老年重度肺部感染伴肺不张的临床疗效[J]. 河北医学, 2017, 23(6): 915-917.
XU Youdong, et al. Bronchoalveolar Lavage in the Treatment of Elderly Patients with Severe Pulmonary Infection with Atelectasis. 河北医学, 2017, 23(6): 915-917.

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http://www.hbyxzzs.cn/CN/10.3969/j.issn.1006-6233.2017.06.011 或 http://www.hbyxzzs.cn/CN/Y2017/V23/I6/915

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