摘要
目的 探讨纤维支气管镜灌洗结合局部灌药对老年重症肺炎并肺不张患者肺功能、临床症状的影响。方法采用回顾性分析方法,选取2013年9月-2015年9月我院收治的78例老年重症肺炎并肺不张患者的临床资料作为研究对象,根据治疗方法 分为对照组（n=37,给予常规综合治疗）与观察组（n=41,给予纤维支气管镜灌洗与局部灌药治疗）,比较两组患者临床疗效、通气功能与动脉血气、痰细菌培养与清除、症状持续时间。结果 治疗后,观察组患者的PaO_2、PaCO_2、SaO_2改善程度优于对照组,差异均具有统计学意义（P〈0.05）;观察组痰培养阳性率（92.68%）、清除率（89.47%）均高于对照组（59.46%、40.91%）,差异有统计学意义（P〈0.05）;观察组患者总有效率（92.68%）明显高于对照组（75.68%）,差异有统计学意义（P=0.002〈0.05）;观察组临床症状消失时间、住院时间均短于对照组（P〈0.05）。结论 老年重症肺炎并肺不张患者采用纤维支气管镜灌洗结合局部灌药治疗效果确切,可有效改善患者的通气功能、动脉血气及临床症状,值得临床推广应用。
Objective To investigate the effect of combined with local irrigation on pulmonary function and clinical symptoms in elderly patients with severe pneumonia.Methods The clinical data of 78 cases of elderly patients with severe pneumonia were randomly divided into the control group（37 cases,treated with conventional treatment） and observation group（41 cases,treated with fiber bronchoscope lavage with local infusion medicine treatment） from September2013 to September 2015.The clinical efficacy,ventilation function and arterial blood gas,sputum bacterial culture,symptoms duration were compared between the two groups.Results After treatment,the Pa0_2 and PaCO_2,SaO_2 of the patients in the observation group were better than those in the control group（P〈0.05）;the positive rate of sputum culture and clearance in the observation group（92.68%,89.47%） was significantly higher than that in the control group（59.46%,40.91%）,the difference was significant（P〈0.05）;the total effective rate of the observation group（92.68%） was significantly higher than that in the control group（75.68%）,and the two groups had statistical significance（P=0.0020.05）;the clinical symptoms disappeared time and hospitalization time were shorter than the control group（P〈0.05）.Conclusion The elderly patients with severe pneumonia and pulmonary artery in patients with severe pneumonia combined with local irrigation treatment efficacy,can effectively improve the patients with ventilation function,arterial blood gas and clinical symptoms,is worthy of clinical application.
出处
《中国现代医生》
2015年第36期90-93,共4页
China Modern Doctor
基金
浙江省公益技术应用研究社会发展项目(2015C33194)
关键词
老年重症肺炎并肺不张
纤维支气管镜灌洗
局部灌药
通气功能
临床症状
Senile severe pneumonia and atelectasis
Bronchoscopy lavage
Local perfusion
Ventilation function
Clinical symptoms
