CAJ | 학술논문

目的:探讨分析纤维支气管镜在危重症治疗及气道管理中的应用价值. 方法:采用随机数字表法将88例危重症患者分为两组,其中对照组采用常规人工气道管理的治疗措施,试验组在人工气道管理基础上采用纤维支气管镜,观察并比较两组患者经过治疗后的临床效果. 结果:两组患者经过治疗后,试验组总有效率(93.18%)明显高于对照组总有效率(68.18%),试验组患者体温、肺部无啰音、白细胞水平恢复至正常及肺部病变吸收情况良好的比例(95.45%、88.64%、90.91%、86.36)均明显高于对照组(68.18%、61.36%、59.09%、59.09%),统计学上有意义(P<0.05). 试验组气道湿化不够的发生率(9.09%)明显低于对照组气道湿化不够的发生率(56.82%),统计学上有意义(P<0.05). 结论:纤维支气管镜在危重症气道管理及治疗方面有极高应用价值,能够准确清除呼吸道分泌物,保持危重症患者呼吸道畅通,安全、有效,应该在临床上广泛应用.
목적:탐토분석섬유지기관경재위중증치료급기도관리중적응용개치. 방법:채용수궤수자표법장88례위중증환자분위량조,기중대조조채용상규인공기도관리적치료조시,시험조재인공기도관리기출상채용섬유지기관경,관찰병비교량조환자경과치료후적림상효과. 결과:량조환자경과치료후,시험조총유효솔(93.18%)명현고우대조조총유효솔(68.18%),시험조환자체온、폐부무라음、백세포수평회복지정상급폐부병변흡수정황량호적비례(95.45%、88.64%、90.91%、86.36)균명현고우대조조(68.18%、61.36%、59.09%、59.09%),통계학상유의의(P<0.05). 시험조기도습화불구적발생솔(9.09%)명현저우대조조기도습화불구적발생솔(56.82%),통계학상유의의(P<0.05). 결론:섬유지기관경재위중증기도관리급치료방면유겁고응용개치,능구준학청제호흡도분비물,보지위중증환자호흡도창통,안전、유효,응해재림상상엄범응용.
Objective:To investigate and analyze the application value of fiberoptic bronchoscopy in in-tensive care and airway management of elderly patients in ICU.Method:Randomly divided 88 critically ill patients into two groups by table of random number method, the control group used conventional artificial air-way management, experimental group used fiberoptic bronchoscope in the management of artificial airway on the basis of control group, observed and compared clinical effect of two groups.Result:After treatment, the total effective rate of the experimental group ( 93.18%) was significantly higher than in the control group ( 68.18%) , The temperature, no rale in pulmonary, white blood cell levels returned to normal and pulmona-ry lesions absorption of good proportion (95.45%, 88.64%, 90.91%, 86.36%) in experimental group were significantly higher than those of the control group ( 68.18%, 61.36%, 59.09%, 59.09%) , There's statisti-cally significant (P <0.05).The incidence of airway humidity not enough (9.09%) in experimental group was lower than that of control group (56.82%), There's statistically significant (P <0.05).Conclusion:Fiberoptic bronchoscopy has extremely high application value in management and treatment of critically ill airway ,it can accurately remove respiratory secretions, maintain airway smoothly, it should be widely ap-plied in clinic for the safety and good effect.