摘要
目的探讨纤维支气管镜肺泡灌洗治疗老年重症肺炎的效果。方法将92例老年重症肺炎患者析根据入院顺序分为对照组(常规治疗)和观察组(常规治疗+纤维支气管镜肺泡灌洗),各46例。比较两组临床疗效、并发症发生情况及血清HMGB-1、sTREM-1水平。结果观察组的治疗总有效率高于对照组(P<0.05)。两组并发症总发生率比较,差异不具有统计学意义(P>0.05)。治疗后,两组血清HMGB-1、sTREM-1水平均降低,且观察组低于对照组(P<0.05)。结论纤维支气管镜肺泡灌洗治疗老年重症肺炎的效果显著,且安全性较高,推荐推广。
Objective To investigate the effect of bronchofiberoscope alveolar lavage in the treatment of senile severe pneumonia. Methods Ninety-two elderly patients with severe pneumonia were divided into control group(routine treatment)and observation group(routine treatment+bronchofiberoscope alveolar lavage), with 46 cases in each group. The clinical effects, incidences of complications and serum levels of HMGB-1 and sTREM-1 of the two groups were compared. Results The total effective rate of treatment in the observation group was higher than that in the control group(P<0.05). There was no significant difference in the total incidence of complications between the two groups(P>0.05). After treatment, the serum levels of HMGB-1 and sTREM-1 decreased in the two groups, and those in the observation group were lower than the control group(P <0.05). Conclusion Bronchofiberoscope alveolar lavage is effective and safe in the treatment of senile severe pneumonia, and it is recommended to be popularized.
作者
李康
张良
刘博
段颖
张怡
伏晓琳
LI Kang;ZHANG Liang;LIU Bo;DUAN Ying;ZHANG Yi;FU Xiao-lin(Xianyang Central Hospital,Xianyang 712000,China)
出处
《临床医学研究与实践》
2019年第8期10-11,共2页
Clinical Research and Practice
关键词
重症肺炎
纤维支气管镜
肺泡灌洗
肺功能
severe pneumonia
bronchofiberoscope
alveolar lavage
pulmonary function
