中国医学前沿杂志（电子版）
中國醫學前沿雜誌（電子版）
중국의학전연잡지（전자판）
CHINESE JOURNAL OF THE FRONTIERS OF MEDICAL SCIENCE(ELECTRONIC VERSION)
2014年
9期
128-130
,共3页
床边%经纤维支气管镜支气管肺泡灌洗术%老年%肺炎
床邊%經纖維支氣管鏡支氣管肺泡灌洗術%老年%肺炎
상변%경섬유지기관경지기관폐포관세술%노년%폐염
Bedside%Fiberoptic bronchoscopy bronchoalveolar lavage%Elderly%Pneumonia
目的：探讨床边经纤维支气管镜（纤支镜）支气管肺泡灌洗术在老年肺炎患者中的应用价值，为临床治疗提供参考。方法按照随机数字表法将79例老年肺炎患者分为两组，均采用常规治疗联合敏感抗生素治疗，观察组患者在此基础上加用床边经纤支镜支气管肺泡灌洗术治疗，比较两组临床疗效。结果观察组疗效优于对照组，差异具有显著性（Z＝-2.159，P＝0.031）；治疗后1小时两组患者PaO2、PaCO2、SaO2与治疗前比较差异具有显著性（P＜0.05）；治疗后6小时，12小时两组患者PaO2、PaCO2、SaO2与治疗后1小时比较，差异无显著性（P＞0.05），观察组患者治疗后PaO2、PaCO2、SaO2改善幅度大于对照组（P＜0.05）；两组患者出现的不良反应包括心律失常、气道出血、发绀、鼻咽部不适。观察组患者不良反应发生率为7.68%，对照组为27.50%，两组比较差异显著（χ2＝5.314， P＝0.021），经对症治疗及综合护理，两组患者不良反应均得以缓解。结论采用床边经纤支镜支气管肺泡灌洗术治疗老年肺炎患者效果显著，不良反应少，具有重要临床参考价值。
目的：探討床邊經纖維支氣管鏡（纖支鏡）支氣管肺泡灌洗術在老年肺炎患者中的應用價值，為臨床治療提供參攷。方法按照隨機數字錶法將79例老年肺炎患者分為兩組，均採用常規治療聯閤敏感抗生素治療，觀察組患者在此基礎上加用床邊經纖支鏡支氣管肺泡灌洗術治療，比較兩組臨床療效。結果觀察組療效優于對照組，差異具有顯著性（Z＝-2.159，P＝0.031）；治療後1小時兩組患者PaO2、PaCO2、SaO2與治療前比較差異具有顯著性（P＜0.05）；治療後6小時，12小時兩組患者PaO2、PaCO2、SaO2與治療後1小時比較，差異無顯著性（P＞0.05），觀察組患者治療後PaO2、PaCO2、SaO2改善幅度大于對照組（P＜0.05）；兩組患者齣現的不良反應包括心律失常、氣道齣血、髮紺、鼻嚥部不適。觀察組患者不良反應髮生率為7.68%，對照組為27.50%，兩組比較差異顯著（χ2＝5.314， P＝0.021），經對癥治療及綜閤護理，兩組患者不良反應均得以緩解。結論採用床邊經纖支鏡支氣管肺泡灌洗術治療老年肺炎患者效果顯著，不良反應少，具有重要臨床參攷價值。
목적：탐토상변경섬유지기관경（섬지경）지기관폐포관세술재노년폐염환자중적응용개치，위림상치료제공삼고。방법안조수궤수자표법장79례노년폐염환자분위량조，균채용상규치료연합민감항생소치료，관찰조환자재차기출상가용상변경섬지경지기관폐포관세술치료，비교량조림상료효。결과관찰조료효우우대조조，차이구유현저성（Z＝-2.159，P＝0.031）；치료후1소시량조환자PaO2、PaCO2、SaO2여치료전비교차이구유현저성（P＜0.05）；치료후6소시，12소시량조환자PaO2、PaCO2、SaO2여치료후1소시비교，차이무현저성（P＞0.05），관찰조환자치료후PaO2、PaCO2、SaO2개선폭도대우대조조（P＜0.05）；량조환자출현적불량반응포괄심률실상、기도출혈、발감、비인부불괄。관찰조환자불량반응발생솔위7.68%，대조조위27.50%，량조비교차이현저（χ2＝5.314， P＝0.021），경대증치료급종합호리，량조환자불량반응균득이완해。결론채용상변경섬지경지기관폐포관세술치료노년폐염환자효과현저，불량반응소，구유중요림상삼고개치。
Objective To study the bedside by ifber bronchoscope were applied value in elderly patients with pneumonia, provide reference for clinical treatment. Method According to random number table method to 79 cases of elderly patients with pneumonia were divided into two groups, adopted conventional treatment combined sensitivity to antibiotics in both groups, observation group on the basis of used the bed by the ifber bronchoscope lavage and compared the clinical curative effect of two groups. Result The level of two groups of curative effect comparison, the difference was statistically signiifcant (Z=-2.159, P=0.031), observation group was better than control group;1 hour in the two groups after treatment of PaO2, PaCO2, SaO2 compared with before treatment, the difference was statistically signiifcant (P < 0.05), after treatment for 6 hours, 12 hours PaO2, PaCO2, SaO2 compared with 1 hour after treatment, there was no statistically signiifcant difference (P > 0.05), the observation group after treatment of PaO2, PaCO2, SaO2 improvement was greater than control group (P<0.05);two groups of adverse reactions were arrhythmia, bleeding, violet purple, nose pharynx ministry unwell, observation group was 7.68%, 27.50%in control group, control group was higher than observation group (χ2=5.314, P=0.021), after symptomatic treatment and comprehensive care, two groups of adverse reactions were eased. Conclusion In elderly patients with pneumonia with bedside ifber bronchoscope lavage treatment has good curative effect, less adverse reaction, the characteristics of clinical has important reference value.
