[1]雷文明.纤维支气管镜吸痰灌洗治疗呼吸重症监护室肺部感染的临床研究[J].医学信息,2022,35(06):129-131.[doi:10.3969/j.issn.1006-1959.2022.06.032]
　LEI Wen-ming.Clinical Study on the Treatment of Pulmonary Infection in Respiratory Intensive Care Unit by Suctioning and Lavage with Fiberoptic Bronchoscopy[J].Medical Information,2022,35(06):129-131.[doi:10.3969/j.issn.1006-1959.2022.06.032]
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纤维支气管镜吸痰灌洗治疗呼吸重症监护室肺部感染的临床研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年06期
页码:
129-131
栏目:
临床研究
出版日期:
2022-03-15

文章信息/Info

Title:
Clinical Study on the Treatment of Pulmonary Infection in Respiratory Intensive Care Unit by Suctioning and Lavage with Fiberoptic Bronchoscopy
文章编号:
1006-1959（2022）06-0129-03
作者:
雷文明
（萍乡市中医院呼吸内科，江西 萍乡 337000）
Author(s):
LEI Wen-ming
(Department of Respiratory Medicine,Pingxiang Hospital of Traditional Chinese Medicine,Pingxiang 337000,Jiangxi,China)
关键词:
纤维支气管镜; 吸痰灌洗; 重症监护; 肺部感染
Keywords:
Fiberoptic bronchoscopy; Sputum Aspiration and lavage; Intensive care unit; Pulmonary infection
分类号:
R563
DOI:
10.3969/j.issn.1006-1959.2022.06.032
文献标志码:
A
摘要:
目的 研究纤维支气管镜吸痰灌洗治疗呼吸重症监护室肺部感染的临床疗效。方法 选取2019年3月-2021年3月在我院呼吸重症监护室诊治的80例肺部感染患者为研究对象，采用随机数字表法分为对照组和观察组，各40例。对照组采用常规治疗，观察组在对照组基础上给予纤维支气管镜吸痰灌洗治疗，比较两组临床治疗总有效率、临床症状和体征改善时间、机械通气和住院时间、菌株清除率。结果 观察组治疗总有效率为92.50%，高于对照组的82.50%，差异有统计学意义（P＜0.05）；观察组发热、咳痰、肺部湿啰音、咳嗽缓解时间均短于对照组，差异有统计学意义（P＜0.05）；观察组机械通气时间、住院时间均短于对照组，差异有统计学意义（P＜0.05）；观察组菌株清除率为90.00%，高于对照组的77.50%，差异有统计学意义（P＜0.05）。结果 纤维支气管镜吸痰灌洗治疗呼吸重症监护室肺部感染效果确切，可提高临床治疗疗效，快速缓解临床症状，缩短机体通气和治疗疗程，提高细菌清除率，具有显著的临床应用价值。
Abstract:
Objective To study the clinical efficacy of fiberoptic bronchoscopy suction lavage in the treatment of pulmonary infection in respiratory intensive care unit.Methods A total of 80 patients with pulmonary infection in respiratory intensive care unit of our hospital from March 2019 to March 2021 were selected and randomly divided into control group and observation group, with 40 cases in each group. The control group was treated with routine treatment, and the observation group was treated with fiberoptic bronchoscopy suction lavage on the basis of the control group. The total effective rate of clinical treatment, improvement time of clinical symptoms and signs, mechanical ventilation and hospitalization time, and bacterial clearance rate were compared between the two groups.Results The total effective rate of the observation group was 92.50%, which was higher than 82.50% of the control group, and the difference was statistically significant (P<0.05). The fever, expectoration, pulmonary rales and cough relief time in the observation group were shorter than those in the control group, and the difference was statistically significant (P<0.05). The mechanical ventilation time and hospitalization time of the observation group were shorter than those of the control group, and the difference was statistically significant (P<0.05). The bacterial clearance rate of the observation group was 90.00%, which was higher than 77.50% of the control group, and the difference was statistically significant (P<0.05).Conclusion Bronchoscopy sputum suction lavage is effective in the treatment of pulmonary infection in respiratory intensive care unit, which can improve the clinical curative effect, quickly relieve clinical symptoms, shorten the course of ventilation and treatment, and improve the bacterial clearance rate. It has obvious clinical application value.

参考文献/References:

[1]许钧,李慧,文隆,等.纤维支气管镜吸痰灌洗治疗呼吸重症监护室肺部感染临床分析[J].海南医学,2019,30(2):226-228.[2]付黎明,朱平,李春燕.纤维支气管镜吸痰灌洗联合机械排痰治疗吸入性肺炎并发呼吸衰竭疗效观察[J].新乡医学院学报,2018,35(7):612-615.[3]姜交泰,朱大庆,黄玉晖.纤维支气管镜吸痰灌洗治疗呼吸重症监护室肺部感染的临床分析[J].临床合理用药杂志,2018,11(1):157-159.[4]王生华,焦鹏,刘鑫,等.纤维支气管镜吸痰联合肺泡灌洗对重症肺部感染患者的治疗效果及安全性分析[J].临床医学,2017,37(3):26-27.[5]闵金义,吴贤伟,向晓媛,等.纤维支气管镜吸痰联合肺泡灌洗治疗对肺癌术后合并肺部感染患者病情及炎症反应的改善作用[J].海南医学院学报,2017,23(5):691-693,697.[6]谢宇曦,张军伟,程爱斌,等.纤维支气管镜肺泡灌洗吸痰术治疗ICU患者肺部感染临床效果分析[J].中华医院感染学杂志,2015,17(13):3005-3007.[7]胡杰,许瑞卿,吕祥龙.痰热清灌洗治疗重症脑梗死并发肺部感染的疗效及对血清炎症因子和氧化应激的影响[J].中国内镜杂志,2018,24(12):83-89.[8]孙尊鹏,葛卫星,林照.纤维支气管镜肺灌洗对ICU机械通气合并肺部感染患者降钙素原和C反应蛋白的影响研究[J].川北医学院学报,2018,33(5):712-714,718.[9]白巧红,钟富宽,陈福涛,等.纤维支气管镜吸痰联合肺泡灌洗对COPD合并呼吸衰竭的临床效果[J].检验医学与临床,2017,14(22):3364-3365.[10]金文婷,马玉燕,王萌冉,等.基于胸部CT影像学表现的肺部感染病原体的评估与甄别[J].中国临床医学,2020,27(4):543-548.[11]任远征,滑君瑞,巩翠珂,等.肺部感染行纤维支气管镜吸痰时不同镇静药物的效果观察[J].山西医药杂志,2020,49(12):1519-1522.[12]段辉,周坤,杨贤义,等.急诊重症监护室机械通气对急性重症肺栓塞合并Ⅰ型呼吸衰竭患者血生化及预后的影响[J].临床内科杂志,2018,35(9):630-631.[13]孙建,任柏沉,杨帆,等.纤维支气管镜吸痰联合常规抗感染治疗对重症肺部感染患者肺功能及炎症状态的影响[J].海南医学院学报,2016,22(13):1373-1376.[14]陈凯.重症肺部感染患者采取纤维支气管镜吸痰联合肺泡灌洗的临床效果[J].中国医学工程,2018,26(1):64-66.[15]汪建英,方强,马建忠,等.纤维支气管镜肺泡灌洗吸痰术联合血必净治疗危重症监护室肺部感染患者的效果及对BNP、TLR-4水平的影响[J].中国全科医学,2018,21(2):73-75.[16]盘健.纤维支气管镜肺泡灌洗吸痰术对ICU患者肺部感染的疗效研究[J].现代诊断与治疗,2017,28(3):556-558.[17]刘长浩,朱佳,刘宏旭,等.吸烟肺癌患者应用纤维支气管镜灌洗吸痰预防术后肺部感染[J].肿瘤学杂志,2017,23(5):445-447.[18]王美.纤维支气管镜肺泡灌洗吸痰术治疗ICU重症肺部感染临床效果分析[J].医学信息,2016,29(36):256.[19]陈书文,王彤兵,田玉恒,等.纤维支气管镜吸痰治疗对重症肺部感染患者呼吸状态与炎性应激的影响研究[J].中华医院感染学杂志,2016,26(22):5122-5124.[20]胡娟,杨柳明,常进勇,等.纤维支气管镜肺泡灌洗对机械通气卒中相关性肺炎的影响[J].锦州医科大学学报,2019,40(1):29-31.

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更新日期/Last Update: 1900-01-01