中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
6期
830-832
,共3页
肺炎%支气管镜检查%治疗结果
肺炎%支氣管鏡檢查%治療結果
폐염%지기관경검사%치료결과
Pneumonia%Bronchoscopy%Treatment outcome
目的 观察经纤维支气管镜治疗难治性肺炎的临床疗效.方法 对40例(治疗组)难治性肺炎患者在常规治疗的基础上经纤维支气管镜行局部灌洗、吸痰和注药等治疗,并与同期仅行常规治疗的22例(对照组)难治性肺炎患者相比较.观察比较两组临床治疗效果.结果 对照组有效率54.5％,治疗组有效率85.0％,治疗组有效率明显高于对照组(x2=8.511,P=0.0140).治疗组治疗后体温为(36.5±2.0)℃,明显低于对照组的(37.9±3.0)℃(t=2.1996,P=0.0317)；胸片或CT显示病灶好转时间治疗组为(12.3±2.1)d,明显少于对照组的(16.0±1.3)d(t =7.3844,P=0.0000)；治疗组痰量变化为(79.7±8.6)ml,明显高于对照组的(34.6±7.8) ml(t =20.3792,P=0.0000)；治疗组住院时间为(20.3±3.1)d,明显少于对照组的(27.0±6.3)d(t =5.6700,P=0.0001).结论 经纤维支气管镜局部灌洗、吸痰和注药治疗难治性肺炎能明显提高疗效及缩短病程,改善预后.
目的 觀察經纖維支氣管鏡治療難治性肺炎的臨床療效.方法 對40例(治療組)難治性肺炎患者在常規治療的基礎上經纖維支氣管鏡行跼部灌洗、吸痰和註藥等治療,併與同期僅行常規治療的22例(對照組)難治性肺炎患者相比較.觀察比較兩組臨床治療效果.結果 對照組有效率54.5％,治療組有效率85.0％,治療組有效率明顯高于對照組(x2=8.511,P=0.0140).治療組治療後體溫為(36.5±2.0)℃,明顯低于對照組的(37.9±3.0)℃(t=2.1996,P=0.0317)；胸片或CT顯示病竈好轉時間治療組為(12.3±2.1)d,明顯少于對照組的(16.0±1.3)d(t =7.3844,P=0.0000)；治療組痰量變化為(79.7±8.6)ml,明顯高于對照組的(34.6±7.8) ml(t =20.3792,P=0.0000)；治療組住院時間為(20.3±3.1)d,明顯少于對照組的(27.0±6.3)d(t =5.6700,P=0.0001).結論 經纖維支氣管鏡跼部灌洗、吸痰和註藥治療難治性肺炎能明顯提高療效及縮短病程,改善預後.
목적 관찰경섬유지기관경치료난치성폐염적림상료효.방법 대40례(치료조)난치성폐염환자재상규치료적기출상경섬유지기관경행국부관세、흡담화주약등치료,병여동기부행상규치료적22례(대조조)난치성폐염환자상비교.관찰비교량조림상치료효과.결과 대조조유효솔54.5％,치료조유효솔85.0％,치료조유효솔명현고우대조조(x2=8.511,P=0.0140).치료조치료후체온위(36.5±2.0)℃,명현저우대조조적(37.9±3.0)℃(t=2.1996,P=0.0317)；흉편혹CT현시병조호전시간치료조위(12.3±2.1)d,명현소우대조조적(16.0±1.3)d(t =7.3844,P=0.0000)；치료조담량변화위(79.7±8.6)ml,명현고우대조조적(34.6±7.8) ml(t =20.3792,P=0.0000)；치료조주원시간위(20.3±3.1)d,명현소우대조조적(27.0±6.3)d(t =5.6700,P=0.0001).결론 경섬유지기관경국부관세、흡담화주약치료난치성폐염능명현제고료효급축단병정,개선예후.
Objective To study the efficacy of bronchoalveolar lavage and drug injection by bronchofibroscope in patients with refractory pneumonia.Methods 62 cases with refractory pneumonia were divided into therapy group(40 cases) and control group(22 cases).All patiens were treated with conventional therapy,bronchoalveolar lavage and drug injection by bronchofibroscope were treated for patients in therapy group in addition.Therapeutic effects were compared between two groups.Results The effective rates of therapy group were significantly higher than that in control group(85.0％ vs 54.5％,x2 =8.511,P=0.014).The control of temperature,amount of sputum,absorption of the lesions and hospitalization days in therapy group were better than those in control group (all P ＜0.05).Conclusion Bronchoalveolar lavage and drug injection by bronchofibroscope is effective for patients with refractory pneumonia,which can shorten the course of treatment,improve prognosis,and deserve the clinical expansion.
