摘要
目的探讨重症肺炎老年患者在纤维支气管镜下行肺泡灌洗的治疗效果及对改善肺功能指标的影响。方法选取2017年3月~2018年10月我院收治的64例老年重症肺炎患者,根据随机数字表法将其分为对照组和观察组,每组各32例。对照组采用常规治疗,观察组在常规治疗下增加纤维支气管镜肺泡灌洗治疗。比较两组治疗前后各项肺功能指标[第1秒用力呼气量(FEV1)、FEV1(%)/用力肺活量(FVC)]的改善情况与临床治疗效果。结果观察组临床治疗总有效率为96.88%,明显高于对照组的81.25%,差异有统计学意义(P<0.05)。两组治疗前FEV1、FEV1%与FVC三项肺功能指标比较,差异无统计学意义(P>0.05);观察组治疗后FEV1、FEV1%与FVC三项肺功能指标改善情况明显高于对照组,差异有统计学意义(P<0.05)。结论对老年重症肺炎患者的治疗,在常规治疗下增加纤维支气管肺泡灌洗可有效提升患者的治疗效率,促进肺功能的水平改善,治疗安全性较高,值得临床借鉴。
Objective To investigate the clinical effect of alveolar lavage under fiberoptic bronchoscope in elderly patients with severe pneumonia and its effect on improving pulmonary function. Methods A total of 64 elderly patients with severe pneumonia admitted to our hospital from March 2017 to October 2018 were selected. According to the random number table method, all patients were divided into control group and observation group, 32 cases in each group. The control group was treated with routine treatment, while the observation group was treated with bronchoscopic alveolar lavage under routine treatment. The improvement of pulmonary function indexes (forced expirator volume in one second [FEV1], the ratio of forced expiratory volume to forced vital capacity in one second [FEV1%] and forced vital capacit [FVC]) before and after treatment and clinical effect were compared between the two groups. Results The total effective rate of the observation group was 96.88%, which was significantly higher than that of the control group (81.25%), and the difference was statistically significant (P<0.05). There were no significant differences in FEV1, FEV1% and FVC before treatment between the two groups (P>0.05). The improvement of FEV1, FEV1% and FVC after treatment in the observation group were significantly higher than those in the control group, and the differences were statistically significant (P<0.05). Conclusion In the treatment of elderly patients with severe pneumonia, increasing bronchoalveolar lavage under routine treatment can effectively improve the treatment efficiency, promote the improvement of pulmonary function, and have high safety, which is worthy of clinical reference and implementation.
作者
付云杰
FU Yun-jie(Department of Respiratory Medicine, Jiujiang First People′s Hospital, Jiangxi Province, Jiujiang 332000, China)
出处
《中国当代医药》
2019年第24期89-91,共3页
China Modern Medicine
关键词
老年重症肺炎
纤维支气管镜肺泡灌洗
疗效
安全性
Senile severe pneumonia
Bronchoscopic alveolar lavage
Therapeutic effect
Safety
