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目的探讨在急性呼吸窘迫综合征中采用纤维支气管镜肺泡灌洗治疗的临床效果。方法选取平江县第一人民医院2012年2月至2014年3月60例急性呼吸窘迫综合征患者,分为对照组与研究组,每组30例。给予对照组患者常规临床治疗,研究组患者在对照组基础上实施纤维支气管镜肺泡灌洗治疗,分析比较两组的治疗效果。结果对照组22例患者治愈,有效率为73.3%;研究组28例患者治愈,有效率为93.3%,显著优于对照组。研究组治疗的机械通气时间、平均住ICU时间及平均住院时间均明显短于对照组,差异有统计学意义(P<0.01)。结论在急性呼吸窘迫综合征中采用纤维支气管镜肺泡灌洗治疗方案具有更显著的疗效,有利于改善患者的治愈率,安全性高,值得临床推广及应用。
Objective To investigate the clinical effect of broncho-alveolar lavage in the treatment of acute respiratory distress syndrome. Methods Sixty patients with acute respiratory distress syndrome in the First People’s Hospital of Pingjiang from February 2012 to March 2014 were selected and divided into control group and study group with 30 cases in each group. The patients in the control group were given routine clinical treatment. The patients in the study group were treated with bronchoalveolar lavage on the basis of the control group, and the treatment effect was compared between the two groups. Results 22 patients in the control group were cured, the effective rate was 73.3%; 28 patients in the study group were cured, the effective rate was 93.3%, significantly better than the control group. The duration of mechanical ventilation, average duration of ICU stay and average length of hospital stay in the study group were significantly shorter than those in the control group (P <0.01). Conclusions The treatment of bronchoalveolar lavage with bronchoscopy in acute respiratory distress syndrome has more significant curative effect, which is beneficial to improve the cure rate and safety of patients. It is worthy of clinical promotion and application.