支气管肺泡灌洗术治疗老年重症肺炎合并呼吸衰竭的疗效

发布时间：2018-11-19 11:20

【摘要】：目的探讨支气管肺泡灌洗术辅助治疗老年重症肺炎合并呼吸衰竭的效果。方法选取该院2011年12月至2012年12月收治的老年重症肺炎合并呼吸衰竭患者96例。随机分为观察组和对照组,各48例。对照组患者接受正常的呼吸科治疗,观察组患者在此基础上加用纤支镜下支气管肺泡灌洗,对比两组患者的急性生理学及慢性健康状况(APACHEⅡ)评分、动脉血气分析指标、临床疗效。结果治疗2 d后观察组患者APACHEⅡ评分明显低于对照组(P0.05);观察组患者血氧饱和度(SaO2)、血氧分压(PaO2)、血CO2分压(PaCO2)水平与对照组相比明显改善(P0.05);治疗7 d后,观察组患者治疗总有效率明显高于对照组(P0.05)。结论支气管肺泡灌洗术辅助治疗可有效改善临床疗效,降低老年患者有创通气比例和死亡率。
[Abstract]:Objective to evaluate the efficacy of bronchoalveolar lavage in the treatment of severe pneumonia complicated with respiratory failure in the elderly. Methods 96 elderly patients with severe pneumonia complicated with respiratory failure from December 2011 to December 2012 were selected. They were randomly divided into observation group and control group with 48 cases in each group. The patients in the control group were treated with normal respiratory therapy, and the patients in the observation group were treated with bronchoalveolar lavage under bronchoalveolar lavage. The scores of acute physiology and chronic health status (APACHE 鈪，

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