无创正压通气联合纤维支气管镜肺灌洗治疗重症肺部感染的临床研究

发布时间：2018-03-01 08:11

  本文关键词： 无创正压通气 纤维支气管镜 肺灌洗 重症肺部感染　出处：《中华医院感染学杂志》2014年15期 　论文类型：期刊论文

【摘要】：目的探讨无创正压通气联合纤维支气管镜肺灌洗治疗重症肺部感染的临床效果,为临床治疗提供参考依据。方法选取2011年4月-2013年3月重症肺部感染患者160例,随机分为两组,对照组76例患者实施单纯无创正压通气治疗,观察组84例患者实施无创正压通气联合纤维支气管镜肺灌洗治疗;对两组患者体温、白细胞计数、血气分析结果进行比较,对治疗效果进行评价,所有数据采用SPSS13.0软件进行分析。结果治疗后观察组患者体温、白细胞计数、PaO2、PaCO2和SaO2分别为(36.25±0.61)℃、(7.84±3.27)×109/L、(79.20±3.24)mm Hg、(36.48±4.38)mm Hg和(94.16±7.35)%,对照组患者分别为(37.62±0.73)℃、(11.85±4.36)×109/L、(65.64±3.52)mm Hg、(54.07±4.22)mm Hg和(89.79±6.23)%,两组患者均较治疗前有明显改善,且观察组患者更为明显;治疗显效率和总有效率观察组患者分别为64.29%和94.05%,对照组分别为51.32%和77.66%,观察组患者均明显高于对照组,两组比较差异有统计学意义(P0.05)。结论在无创正压通气的基础上联合纤维支气管镜肺灌洗治疗,可以有效提高重症肺部感染患者的治疗效果、改善患者预后。
[Abstract]:Objective to investigate the clinical effect of noninvasive positive pressure ventilation combined with fiberoptic bronchoscopy in the treatment of severe pulmonary infection and to provide reference for clinical treatment. Methods 160 patients with severe pulmonary infection from April 2011 to March 2013 were randomly divided into two groups. 76 patients in the control group were treated with simple positive pressure ventilation, 84 patients in the observation group were treated with noninvasive positive pressure ventilation combined with bronchofiberscope lung lavage, the results of body temperature, white blood cell count and blood gas analysis were compared between the two groups. All the data were analyzed by SPSS13.0 software. Results after treatment, the body temperature of the patients in the observation group, The white blood cell counts of PaO2 and SaO2 were 36.25 卤0.61 鈩，

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