CAJ | 학술논문

目的：对脑血栓合并肺炎的病例进行纤维支气管镜下治疗进行分析，观察临床疗效。方法采用前瞻性、随机平行对照的研究方法，从我院2010年5月至2013年3月住院的256例脑血栓合并肺炎的病例，随机分成A组128例（给予常规治疗如抗炎、化痰、对症支持治疗）、B组128例（给予进行纤维支气管镜下治疗加上述常规治疗），观察两组疗效。结果纤维支气管镜下治疗组和常规治疗组比较，在病死率、体温恢复正常的时间、肺部湿啰音消失时间、白细胞总数、中性粒细胞分类正常的时间以及影像学炎症吸收时间，差异均有统计学意义(P<0.05，P<0.01)，取得了良好的临床效果。结论纤维支气管镜治疗脑血栓并肺炎疗效较高，不良反应小，有较好的临床推广价值。
목적：대뇌혈전합병폐염적병례진행섬유지기관경하치료진행분석，관찰림상료효。방법채용전첨성、수궤평행대조적연구방법，종아원2010년5월지2013년3월주원적256례뇌혈전합병폐염적병례，수궤분성A조128례（급여상규치료여항염、화담、대증지지치료）、B조128례（급여진행섬유지기관경하치료가상술상규치료），관찰량조료효。결과섬유지기관경하치료조화상규치료조비교，재병사솔、체온회복정상적시간、폐부습라음소실시간、백세포총수、중성립세포분류정상적시간이급영상학염증흡수시간，차이균유통계학의의(P<0.05，P<0.01)，취득료량호적림상효과。결론섬유지기관경치료뇌혈전병폐염료효교고，불량반응소，유교호적림상추엄개치。
Objective Case of illness infects side which to the cerebral infarction merge lungs infects has sexual intercourse the textile fiber bronchoscope (a filament mirror) under to treat carries on the analysis, the observation clinical curative effect. Method Uses forward-looking, the stochastic parallel comparison research technique, chooses from May, 2010 in hospital case of illness which the period diagnosis 256 example cerebral infarction merge lungs infects to March, 2013, divides into A group of 128 examples (to give conventional treatment like anti-inflammation, phlegm reduction, support treatment) stochastically, B group of 128examples (gives has sexual intercourse under a filament mirror to treat), observes two groups of curative effects. Results Nearby the bed under a filament mirror treats the group and the conventional treatment group comparison, in the mortality rate, the body temperature restores the normal number of days, the lungs wet Luo sound vanishing number of days, the WBC total, the neutral granular cell classification normal number of days as well as the phantom study inflammation absorption number of days, the difference has statistics significance (P<0.05, P<0.01), has obtained the good clinical effect. Conclusion Nearby the bed the filament mirror treatment cerebral infarction fights to the death the lungs to infect the curative effect to be high, the side effect is small, has the good clinical promoted value.