CAJ | 학술논문

目的探讨经纤维支气管镜(简称纤支镜)吸痰及灌洗在机械通气患者中的临床应用价值.方法 60例机械通气患者随机分为对照组和治疗组各30例.两组均给予抗感染及营养支持等治疗.对照组予常规吸痰治疗,治疗组予经纤支镜吸痰和灌洗治疗,观察比较两组患者治疗前后的临床疗效.结果治疗组血气分析变化、机械通气时间及平均住院时间均优于对照组(均P ＜0.05)；治疗组成功脱机、器官衰竭及院内死亡例数均少于对照组(均P ＜0.05)；治疗组治愈率86.7％,高于对照组的60.0％(x2=2.60,P＜0.05).结论机械通气患者行纤支镜吸痰及肺泡灌洗可提高机械通气患者脱机的成功率,减少住院病死率,是安全、有效的方法,值得临床推广.
목적 탐토경섬유지기관경(간칭섬지경)흡담급관세재궤계통기환자중적림상응용개치.방법 60례궤계통기환자수궤분위대조조화치료조각30례.량조균급여항감염급영양지지등치료.대조조여상규흡담치료,치료조여경섬지경흡담화관세치료,관찰비교량조환자치료전후적림상료효.결과 치료조혈기분석변화、궤계통기시간급평균주원시간균우우대조조(균P ＜0.05)；치료조성공탈궤、기관쇠갈급원내사망례수균소우대조조(균P ＜0.05)；치료조치유솔86.7％,고우대조조적60.0％(x2=2.60,P＜0.05).결론 궤계통기환자행섬지경흡담급폐포관세가제고궤계통기환자탈궤적성공솔,감소주원병사솔,시안전、유효적방법,치득림상추엄.
Objective To explore the clinical application of fiberoptic bronchoscopy with bronchoalveolar lavage(BAL) in patients with mechanical ventilation.Methods Sixty patients with mechanical ventilation were randomly divided into control group ( n =30) and treatment group ( n =30).All patients accepted anti-infection,nutritional support treatments.The patients in the control group accepted routine treatment;others in the treatment group were treated with BAL.The therapeutic effects in the two groups were evaluated and compared.Results The treatment effects in treatment group was better than that in control group( P ＜0.05).The improvement of blood gas analysis in treatment group was better than in control group (P ＜ 0.05 ),the time of mechanical ventilation,length of stay in treatment group were shorter than those in the control group ( P ＜ 0.05 ).The number of success to remove ventilator,organs failure and hospital mortality in treatment group were less than those in the control group ( P ＜ 0.05 ).Conclusion Fiberoptic bronchoscopy with BAL treatment could be safe and effective for patients with mechanical ventilation.It deserves to be popularized.