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目的:探讨氨溴索支气管肺泡灌洗治疗重症肺炎的临床效果。方法:将行支气管肺泡灌洗的重症肺炎患者66例随机分为对照组30例和治疗组36例,分别应用生理盐水和氨溴索为灌洗液,比较两组气管分泌物量、机械通气时间、住ICU时间和死亡人数。结果:治疗组的灌洗痰量虽较对照组多,但无统计学差异(P>0.05);治疗组机械通气时间、住ICU时间明显少于对照组(P<0.05);两组死亡人数无统计学差异(P>0.05)。结论:氨溴索支气管肺泡灌洗可促进重症肺炎患者排痰,改善通气,提高疗效。
Objective: To investigate the clinical effect of ambroxol bronchoalveolar lavage in the treatment of severe pneumonia. Methods: Sixty-six patients with severe pneumonia who underwent bronchoalveolar lavage were randomly divided into control group (n = 30) and treatment group (n = 36). Saline and ambroxol were used as lavage fluid respectively. The amount of tracheal secretion, , ICU time and number of deaths. Results: The number of lavage sputum in the treatment group was more than that in the control group, but there was no significant difference (P> 0.05). The duration of mechanical ventilation and ICU stay in the treatment group was significantly less than that in the control group (P <0.05) No statistical difference (P> 0.05). Conclusion: Ambroxol bronchoalveolar lavage can promote expectoration of patients with severe pneumonia, improve ventilation and improve the curative effect.