CAJ | 학술논문

回顾性分析2005年1月至2010年12月住院治疗的41例患者,均为鼻咽癌放疗后合并吸入性肺炎者,其中早期纤维支气管镜治疗组24例(A组),单纯常规治疗组17例(B组).分析早期纤维支气管镜治疗对鼻咽癌放疗后吸入性肺炎患者体温、血象、影像学肺部吸收和死亡率的影响.治疗前A组与B组的体温和血WBC处于同一水平[(38.7±0.7)℃与(38.5±0.7)℃,P=0.633;(15.8 ±4.2)×109/L与(16.2 ±3.4)×109/L,P=0.430],治疗3d后两组体温差异具有统计学意义[(37.3±0.9)℃与(38.4±1.4)℃,P=0.015];治疗5d后两组白细胞差异有统计学意义[(10.6±4.2)×109/L与(15.3±6.9)×109/L,P =0.045];A组肺部影像学改变较常规组吸收更快(Z=-3.515,P=0.00),两组死亡率没有统计学差异.
회고성분석2005년1월지2010년12월주원치료적41례환자,균위비인암방료후합병흡입성폐염자,기중조기섬유지기관경치료조24례(A조),단순상규치료조17례(B조).분석조기섬유지기관경치료대비인암방료후흡입성폐염환자체온、혈상、영상학폐부흡수화사망솔적영향.치료전A조여B조적체온화혈WBC처우동일수평[(38.7±0.7)℃여(38.5±0.7)℃,P=0.633;(15.8 ±4.2)×109/L여(16.2 ±3.4)×109/L,P=0.430],치료3d후량조체온차이구유통계학의의[(37.3±0.9)℃여(38.4±1.4)℃,P=0.015];치료5d후량조백세포차이유통계학의의[(10.6±4.2)×109/L여(15.3±6.9)×109/L,P =0.045];A조폐부영상학개변교상규조흡수경쾌(Z=-3.515,P=0.00),량조사망솔몰유통계학차이.
A total of 41 patients with aspiration pneumonia after nasopharyngeal carcinoma radiotherapy were retrospectively selected from January 2005 to December 2010.They were divided into early bronchoscopy group (n =24) and conventional therapy group (n =17) to analyze the therapeutic effects of early bronchoscopy on temperature,white blood cell (WBC),absorption of chest radiography and mortality rates.The temperature and WBC were at the same level between both groups at pre-treatment [(38.7 ±0.7)℃ vs.(38.5 ±0.7)℃,P=0.633; (15.8 ±4.2) × 109/L vs.(16.2 ±3.4) × 109/L,P =0.430]while the temperature declined obviously after a 3-day treatment [(37.3 ±0.9)℃ vs.(38.4 ± 1.4)℃,P =0.015] and also WBC after a 5-day treatment[(10.6±4.2) × 109/L vs.(15.3 ±6.9) × 109/L,P=0.045].The bronchoscopy group had a faster absorption of chest radiography (Z =-3.515,P =0.00).The mortality rate showed no statistically significant difference between both groups.