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目的:探讨纤维支气管镜肺泡灌洗术治疗感染性肺炎患者的临床效果。方法:选取本院2013年4月-2014年5月收治的感染性肺炎患者共64例作为研究对象,使用随机数字表法将其分为观察组以及对照组各32例。两组患者均确诊为多重耐药性鲍曼不动杆菌感染相关肺炎患者,其中观察组患者给予阿米卡星肺泡灌洗治疗,对照组患者给予常规药物肺泡灌洗治疗,观察两组患者治疗效果,比较两组患者治疗后肺部湿啰音消失时间、胸部X线片上的阴影消失时间、血白细胞总数恢复正常时间、抗生素应用时间以及住院时间的差异,同时统计两组患者临床肺部感染评分(CPIS)评分的变化。结果:两组患者肺部湿啰音消失时间、胸部X线片上的阴影消失时间、血白细胞总数恢复正常时间、抗生素应用时间以及住院时间相比较,观察组明显优于对照组,差异具有统计学意义(P<0.05)。两组患者治疗后CPIS评分比较,差异具有统计学意义(P<0.05)。结论:纤维支气管镜肺泡灌洗术治疗感染性肺炎有较好的临床效果。
Objective: To investigate the clinical effect of bronchofibroscope lavage in the treatment of patients with infectious pneumonia. Methods: A total of 64 patients with infectious pneumonia admitted from April 2013 to May 2014 in our hospital were selected as study subjects, and divided into observation group and control group with 32 cases in each group by random number table. Two groups of patients were diagnosed as multidrug-resistant Acinetobacter baumannii infection-related pneumonia patients, the observation group were given amikacin alveolar lavage treatment, the control group of patients given conventional drug alveolar lavage treatment, two groups of patients treated Results The lung wet rales disappeared, the disappearance of shadows on the chest radiographs, the time of recovery of the total number of white blood cells, the time of application of antibiotics and the length of hospital stay were compared between the two groups. The clinical pulmonary infection Changes in the score (CPIS) score. Results: Compared with the control group, the observation group was significantly better than the control group in the disappearance of pulmonary rales, the disappearance of shadows on the chest X-ray films, the return of the total number of white blood cells, the antibiotic application time and hospitalization time Significance (P <0.05). CPIS scores after treatment in both groups were statistically significant (P <0.05). Conclusion: Bronchoscopy with bronchoalveolar lavage for the treatment of infectious pneumonia has a good clinical effect.