现代仪器与医疗
現代儀器與醫療
현대의기여의료
Modern Instrument and Medical Treatment
2014年
4期
92-94
,共3页
许向华%于一辰%吴海波%曲思澄%林娜
許嚮華%于一辰%吳海波%麯思澄%林娜
허향화%우일신%오해파%곡사징%림나
纤维支气管镜%肺内感染%CPIS评分
纖維支氣管鏡%肺內感染%CPIS評分
섬유지기관경%폐내감염%CPIS평분
fiberoptic bronchoscope%lung infection%CPIS score
目的:探讨床旁纤维支气管镜治疗术后重症肺内感染的临床价值。方法:将2011年7月~2013年12月术后发生重症肺内感染入住重症监护病房的患者随机分组,对照组进行抗感染等常规治疗,治疗组在此基础上行每日纤维支气管镜治疗,观察两组症状、CPIS评分等的变化。结果:治疗组患者症状缓解快于对照组,差异具有统计学意义(P<0.05);治疗第5天开始治疗组CPIS评分低于对照组,差异有统计学意义(P<0.05);治疗组有效率高于对照组,但差异不具有统计学意义。结论:床旁纤维支气管镜治疗疗效肯定,能更快缓解病情,缩短治疗时间。
目的:探討床徬纖維支氣管鏡治療術後重癥肺內感染的臨床價值。方法:將2011年7月~2013年12月術後髮生重癥肺內感染入住重癥鑑護病房的患者隨機分組,對照組進行抗感染等常規治療,治療組在此基礎上行每日纖維支氣管鏡治療,觀察兩組癥狀、CPIS評分等的變化。結果:治療組患者癥狀緩解快于對照組,差異具有統計學意義(P<0.05);治療第5天開始治療組CPIS評分低于對照組,差異有統計學意義(P<0.05);治療組有效率高于對照組,但差異不具有統計學意義。結論:床徬纖維支氣管鏡治療療效肯定,能更快緩解病情,縮短治療時間。
목적:탐토상방섬유지기관경치료술후중증폐내감염적림상개치。방법:장2011년7월~2013년12월술후발생중증폐내감염입주중증감호병방적환자수궤분조,대조조진행항감염등상규치료,치료조재차기출상행매일섬유지기관경치료,관찰량조증상、CPIS평분등적변화。결과:치료조환자증상완해쾌우대조조,차이구유통계학의의(P<0.05);치료제5천개시치료조CPIS평분저우대조조,차이유통계학의의(P<0.05);치료조유효솔고우대조조,단차이불구유통계학의의。결론:상방섬유지기관경치료료효긍정,능경쾌완해병정,축단치료시간。
Objective:To investigate the clinical effect of fiberoptic bronchoscopy in the postoperative treatment of severe lung infection.Methods:The patients in the ICU with severe lung infection after fiberoptic bronchoscopy from July 2011 to December 2013 were divided into groups randomly. The patients in the control group received conventional anti-infection treatment, and the patients in the treatment group received daily treatment of ifberoptic bronchoscopy basically. The changes of symptoms, CPIS score were observed.Results:The remission of symptoms in the treatment group was more rapid than that in the control group, and the difference was signiifcant (P<0.05). There was signiifcant difference in the CPIS score at 5 days after treatment between two groups (P<0.05), and the CPIS score in the treatment group were lower than that in the control group. The effective rate in the treatment group was higher than that in the control group, but the difference was not significant.Conclusions:Clinical fiberoptic bronchoscope therapy can alleviate the condition faster, shorten treatment time and may have a better effect.