CAJ | 학술논문

目的：探讨纤维支气管镜在呼吸内科急症治疗中的疗效。方法将2010年9月～2013年8月收治的急症患者164例纳入本研究，随机均分有2组（n=82）。A组接受呼吸内科常规治疗，B组在常规治疗的基础上辅以纤维支气管镜。对比2组患者临床疗效和生存质量的差异性。结果治疗后A组总有效率为82.93%，B组总有效率为93.90%，B组总有效率显著高于A组，差异具有统计学意义（P＜0.05）。A组生存质量评分（75.36±13.57）分，B组生存质量评分（77.52±11.25）分，对比2组生存质量发现，2组间差异无统计学意义。结论纤维支气管镜在呼吸内科急症治疗中可起到良好的辅助治疗效果，且不会影响患者的生存质量，值得在今后呼吸内科临床工作中推广应用。
목적：탐토섬유지기관경재호흡내과급증치료중적료효。방법장2010년9월～2013년8월수치적급증환자164례납입본연구，수궤균분유2조（n=82）。A조접수호흡내과상규치료，B조재상규치료적기출상보이섬유지기관경。대비2조환자림상료효화생존질량적차이성。결과치료후A조총유효솔위82.93%，B조총유효솔위93.90%，B조총유효솔현저고우A조，차이구유통계학의의（P＜0.05）。A조생존질량평분（75.36±13.57）분，B조생존질량평분（77.52±11.25）분，대비2조생존질량발현，2조간차이무통계학의의。결론섬유지기관경재호흡내과급증치료중가기도량호적보조치료효과，차불회영향환자적생존질량，치득재금후호흡내과림상공작중추엄응용。
Objective Investigate the effect of ifberoptic bronchoscopy on Respiratory Department of internal medicine emergency treatment, and analyzes its inlfuence on the quality of life of patients. Methods 164 cases from Sep. 2010 to Aug. 2013 were chosed and divided into A and B groups randomLy. A group was received the conventional treatment of Respiratory Department of internal medicine, B group was received ifberoptic bronchoscopy treatment on the basis of A group. Clinical efifcacy and life quality were compared. Results After treatment, the total effective rate was 82.93%in A group, the total efifciency was 93.90%in B group. Compared clinical curative effect, B group was higher than that in A group, the difference was statistically signiifcant (P<0.05). A group quality of life scores (75.36±13.57)%, group B quality of life scores (77.52±11.25)%. Compared life quality, there was no signiifcant difference. Conclusion It has good adjuvant therapy effect in the treatment of emergency in respiratory department of internal medicine that ifberoptic bronchoscopy was used. It will not affect patients’ quality of life, is worthy to be popularized.