CAJ | 학술논문

目的探讨纤维支气管镜(纤支镜)肺泡灌洗术联合雾化吸入治疗社区获得性肺炎的疗效.方法将60例社区获得性肺炎患者随机分为治疗组和对照组,每组30例,对照组给予常规抗感染、祛痰、体位引流、支持治疗,治疗组在对照组治疗的基础上行纤支镜肺泡灌洗联合雾化吸入.观察两组患者的痰培养阳性率、临床症状改善情况以及胸部X线下病变吸收情况.结果治疗组痰培养阳性率高,临床症状缓解快、住院时间缩短,X线吸收速度快.结论纤支镜肺泡灌洗联合雾化吸入治疗社区获得性肺炎疗效较好.
목적 탐토섬유지기관경(섬지경)폐포관세술연합무화흡입치료사구획득성폐염적료효.방법 장60례사구획득성폐염환자수궤분위치료조화대조조,매조30례,대조조급여상규항감염、거담、체위인류、지지치료,치료조재대조조치료적기출상행섬지경폐포관세연합무화흡입.관찰량조환자적담배양양성솔、림상증상개선정황이급흉부X선하병변흡수정황.결과 치료조담배양양성솔고,림상증상완해쾌、주원시간축단,X선흡수속도쾌.결론 섬지경폐포관세연합무화흡입치료사구획득성폐염료효교호.
Objective To study the effect of fiberoptic bronchoscopy bronchoalveolar lavage combined with atomization inhalation on cormnunity acquired pneumonia.Methods Sixty cases of community acquired pneumonia were randomly divided into treatment group and control group,with 30 patients in each group.The patients in control group were given conventional anti infective,phlegm,postural drainage,supporting treatment,on the basis of the treatment in control group,the patients in treatment group were given fiberoptic bronchoscopy with bronchoalveolar lavage combined with atomization.Both groups were observed with sputum culture positive rate,improvement of clinical symptoms and chest X ray absorption lesions.Results The positive rate of sputum culture was higher,the symptoms relieved more rapidly,the days of hospitalization was shorter,X-ray absorption was faster in the treatment group.Conclusions The effect of fiberoptic bronchoscopy with bronchoalveolar lavage combined with atomization inhalation on community acquired pneumonia is better.