简介:摘要目的对纤维支气管镜治疗支气管结核的临床疗效进行分析研究,以供参考。方法选择于2015年3月1日至2017年1月1日期间,在我院接受治疗的92例支气管结核患者作为本次的研究对象,对患者进行随机分组,对照组患者采取常规抗结核治疗,研究组患者则采取纤维景支气管镜介入进行治疗,对两组患者的治疗效果进行对比研究。结果研究组患者的治疗效果以及肺完全复张率明显优于对照组患者,且研究组患者随访后患者的瘢痕狭窄发生率明显低于对照组患者。P<0.05认为差异具有统计学意义。结论在支气管结核患者的治疗工作中,对患者采取纤维支气管镜介入治疗,可有效提高患者的治疗效果,改善患者的肺复张情况以及治疗的瘢痕狭窄情况,具有一定的临床实践研究价值。
简介: [摘要 ]目的 探讨纤维支气管镜下支气管肺泡灌洗治疗重症肺部感染的效果。方法 选取 2016年 5月~ 2018年 11月在我院治疗的 126例重症肺部感染患者,按照随机数字表法分为对照组和实验组,每组均 63例。对照组患者给予常规治疗,实验组患者应用纤维支气管镜下支气管肺泡灌洗治疗,观察比较两组患者的治疗效果、临床症状消失时间、呼吸力学参数。结果 实验组患者的治疗总有效率为 95.24%,明显高于对照组的 80.96%,差异有统计学意义( P<0.05)。实验组患者的肺部啰音消失时间、咳痰消失时间、咳嗽消失时间均短于对照组,差异有统计学意义( P<0.05)。实验组患者治疗后的肺顺应性、胸廓顺应性、总动态顺应性均显著高于对照组,差异有统计学意义( P<0.05)。结论 针对重症肺部感染患者应用纤维支气管镜下支气管肺泡灌洗治疗可提高治疗效果,改善临床症状及呼吸力学参数,促进患者康复,值得推广应用。 [关键词 ]纤维支气管镜 ;支气管肺泡灌洗 ;重症肺部感染 [Abstract] Objective To investigate the effect of bronchoalveolar lavage (BAL) in the treatment of severe pulmonary infection. Methods 126 patients with severe pulmonary infection who were treated in our hospital from May 2016 to November 2018 were divided into control group and experimental group according to the method of random number table, 63 cases in each group. The patients in the experimental group were treated with bronchoalveolar lavage under fiberbronchoscope. The therapeutic effect, the time of clinical symptoms disappearance and the parameters of respiratory mechanics were observed and compared. Results the total effective rate of the experimental group was 95.24%, which was significantly higher than that of the control group (80.96%) (P < 0.05). The disappearance time of lung rale, expectoration and cough in the experimental group were shorter than that in the control group (P < 0.05). The lung compliance, thorax compliance and total dynamic compliance of the experimental group were significantly higher than those of the control group (P < 0.05). Conclusion bronchoalveolar lavage under fiberbronchoscope can improve the therapeutic effect, improve the clinical symptoms and respiratory mechanics parameters, and promote the recovery of patients with severe pulmonary infection, which is worth popularizing.