摘要
目的探讨支气管镜在急危重症合并严重肺部感染患者的治疗效果。方法方便选取2016年1月—2020年12月在该院接受支气管镜治疗急危重症合并肺部感染患者64例,根据随机数字表法分组。对照组患者为32例,采取常规抗感染治疗;研究组患者32例,在进行常规抗感染治疗方法基础上,增加支气管镜进行治疗,对比两组患者治疗总有效率、临床症状改善情况与血气分析指标。结果研究组患者治疗总有效率为96.8%,对照组患者治疗总有效率为71.9%,差异有统计学意义(χ^(2)=7.585,P<0.05);通过对比两组临床症状、体征、痰培养、外周血白细胞计数及肺部病变吸收情况可知,研究组各项指标均优于对照组,差异有统计学意义(P<0.05);通过对比两组血气分析指标显示,研究组血氧饱和度及动脉血氧分压高于对照组,动脉血二氧化碳分压指标低于对照组,差异有统计学意义(P<0.05)。结论急危重症合并肺部感染的患者采用支气管镜进行治疗后,治疗效果更理想,对改善临床症状、降低白细胞计数有较大的帮助,同时,还可改善患者的血气分析指标,促使患者身体尽快恢复健康,建议临床应用及大力推广。
Objective To explore the therapeutic effect of bronchoscopy in acute and critically ill patients with severe pulmonary infection.Methods A total of 64 patients with acute and critically ill patients with pulmonary infection who underwent bronchoscopy in the hospital from January 2016 to December 2020 were conveniently selected and grouped according to the random number table method.There were 32 patients in the control group,and treated with conventional anti-infective treatment;the 32 patients in the study group were treated with bronchoscopy on the basis of conventional anti-infective treatment,and the total effective rate and clinical treatment symptom improvement and blood gas analysis indicators of the two groups were compared.Results The total effective rate of treatment in the study group was 96.8%,and the total effective rate in the control group was 71.9%,the difference was statistically significant(χ^(2)=7.585,P<0.05);by comparing the clinical symptoms and signs of the two groups,sputum culture,peripheral blood white blood cell count and lung disease absorption showed that the study group was better than the control group,the difference was statistically significant(P<0.05);by comparing the two groups of blood gas analysis,it showed that compared with the conventional group after treatment,the study group's blood oxygen saturation and arterial oxygen partial pressure was higher than the control group,the arterial carbon dioxide partial pressure index was lower the control group,the difference was statistically significant(P<0.05).Conclusion After bronchoscopy is used for the treatment of acute and critically ill patients with pulmonary infection,the treatment effect is more ideal,which can greatly help improve clinical symptoms and reduce white blood cell count.At the same time,it can also improve the patient's blood gas analysis indicators and promote the patient's body to restore health as soon as possible,clinical application and vigorous promotion are recommended.
作者
白英连
张旗松
万军
莫文庆
汪明星
李培根
唐映莲
BAI Yinglian;ZHANG Qisong;WAN Jun;MO Wenqing;WANG Mingxing;LI Peigen;TANG Yinglian(Department of Respiratory Medicine,Lianzhou People's Hospital,Lianzhou,Guangdong Province,513400 China)
出处
《中外医疗》
2021年第34期23-26,共4页
China & Foreign Medical Treatment
基金
清远市科技计划项目(180615101900542)。
关键词
支气管镜
急危重症
严重肺部感染
治疗效果
Bronchoscopy
Acute and critical illness
Severe lung infection
Therapeutic effect
