常规吸痰与纤维支气管镜灌洗治疗老年吸入性肺炎的疗效

发布时间：2018-11-17 07:16

【摘要】：目的探讨常规治疗以及常规治疗加用纤维支气管镜下支气管灌洗治疗老年吸入性肺炎(AP)的临床疗效。方法选取2012年12月至2013年12月在该院接受治疗的AP老年患者52例,其中男32例,女20例,按照是否同意行纤维支气管镜下支气管灌洗分为两组,对照组(25例)给予常规治疗(包括普通吸痰管吸痰),实验组(27例)给予常规治疗加用纤维支气管镜下支气管灌洗,持续观察至出院,观察两组患者治疗后第3天的白细胞总数(WBC)及氧合指数(PaO2/FiO2)、治疗第7天X线胸片中炎症病灶的变化。结果治疗第3天,两组PaO2/FiO2上升,WBC下降,两组治疗方法均有效,且实验组疗效明显优于对照组(P0.05)。治疗第7天复查胸片,实验组有21例肺部阴影面积缩小≥50%,对照组有11例实验组的治疗方法明显优于对照组(P0.05)。结论两组治疗后PaO2/FiO2、WBC以及肺部阴影明显改善。证明在老年AP患者的治疗中纤维支气管镜支气管灌洗的疗效明显优于普通吸痰管吸痰。
[Abstract]:Objective to investigate the clinical effect of routine treatment and bronchial lavage under fiberoptic bronchoscopy in the treatment of senile aspiration pneumonia (AP). Methods from December 2012 to December 2013, 52 elderly AP patients, including 32 males and 20 females, were divided into two groups according to their consent to bronchial lavage under fiberoptic bronchoscopy. The control group (25 cases) received routine treatment (including common sputum suction tube), the experimental group (27 cases) received routine treatment plus bronchofibroscope broncholavage, and continued observation until discharge. The total (WBC) and oxygenation index (PaO2/FiO2) of leukocytes were observed on the 3rd day after treatment, and the changes of inflammatory lesions in chest radiographs on the 7th day after treatment were observed. Results on the 3rd day of treatment, PaO2/FiO2 increased and WBC decreased in both groups. Both groups were effective, and the curative effect of the experimental group was significantly better than that of the control group (P0.05). On the 7th day of treatment, 21 cases of lung shadow area reduced 鈮，

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