摘要
目的讨论经支气管镜灌洗治疗对支气管扩张反复感染病人疗效观察。方法选择2013年3月至2014年05月入住我院的35例支气管扩张反复发作肺部感染病人,随机分为灌洗组和对照组,对照组采用静脉抗菌、祛痰、止咳等常规治疗,灌洗组在上述治疗的基础上,通过电子支气管镜行镜下灌洗,并向病变部位注入阿米卡星治疗。观察治疗有效率,住院期间抗生素DDD值,住院天数,1月内再住院率方面的比较。结果灌洗组治愈9例,好转6例,有效率为94%;对照组治愈6例,好转8例,有效率为74%.两组差异有统计学意义(P<O.05);抗生素DDD值具有显著性差异(P<0.05);1月内再住院例数减少;住院天数与对照组相比无明显差异。无气胸及严重气道内出血等并发症。结论支气管肺泡灌洗治疗支气管扩张感染病人的过程中,其疗效确切且效果显著,对于患者具有十分重要的临床治疗价值。
Objective To observe the curative effect of bronchial lavage in the treatment of patients with bronchiectasis complicated with infection. Methods 35 patients with bronchiectasis complicated with pulmonary infection were randomly divided into the lavage group and the control group. The control group using intravenous antibiotic,expectorant,cough and other conventional treatment,and the lavage group was additionally given electronic bronchoscope arthroscopic lavage and injected amikacin. The therapeutic efficiency of DDD data,duration of hospital stay,and re-hospitalization rate in January were compared. Results In the lavage group,9 cases were cured,6 cases improved,and the effective rate was 94%. In the control group,6 cases were cured,8 cases improved,and the effective rate was 74%. There was significant difference in antibiotic DDD value between the two groups（ P〈 0.05）.The re-hospitalization rate in January was lower in the lavage group than in the control group. The duration of hospital stay showed no significant difference between the two groups. Conclusion Bronchoalveolar lavage has great clinical value in the treatment of patients with bronchiectasis complicated with infection.
出处
《临床肺科杂志》
2015年第5期913-916,共4页
Journal of Clinical Pulmonary Medicine
