CAJ | 학술논문

目的：观察经支气管镜肺泡灌洗治疗重症肺炎的临床效果。方法：对92例重症肺炎患者进行疗效观察，随机分为2组。对照组采用常规治疗方式，治疗组在传统治疗方法基础上，进行支气管镜肺泡灌洗术治疗，对2组患者临床疗效、住院时间进行分析比较。结果：治疗后观察组总有效率明显高于常规治疗对照组，治疗组总有效率95.7%，对照组总有效率84.4%，从临床症状缓解、影像学炎症吸收、白细胞正常时间方面差异有统计学意义（P<0.05）；治疗组住院天数比对照组明显缩短，分别为（14.2±3.2）d和（19.4±4.3）d。结论：纤维支气管镜肺泡灌洗是治疗重症肺炎安全、有效的方法，临床效果显著，值得推广与应用。
목적：관찰경지기관경폐포관세치료중증폐염적림상효과。방법：대92례중증폐염환자진행료효관찰，수궤분위2조。대조조채용상규치료방식，치료조재전통치료방법기출상，진행지기관경폐포관세술치료，대2조환자림상료효、주원시간진행분석비교。결과：치료후관찰조총유효솔명현고우상규치료대조조，치료조총유효솔95.7%，대조조총유효솔84.4%，종림상증상완해、영상학염증흡수、백세포정상시간방면차이유통계학의의（P<0.05）；치료조주원천수비대조조명현축단，분별위（14.2±3.2）d화（19.4±4.3）d。결론：섬유지기관경폐포관세시치료중증폐염안전、유효적방법，림상효과현저，치득추엄여응용。
Objective: To observe clinical effects of bronchoalveolar lavage in the treatment of severe pneumonia. Methods: 92 patients with severe pneumonia were divided randomly into two groups. Control group received routine treatment, patients in the treatment group based on the traditional treatments performed bronchoalveolar lavage treatment. Clinical efficacy and hospitalization days were compared and analyzed between the two groups. Results: The total effective rate of observation group was significantly higher than that of the conventional treatment control group. Total effectiveness of treatment group was 95.7%, while the total effectiveness of control group was 84.4%. The difference of clinical symptoms, imaging from the absorption of inflammation, white blood cells of normal time was statistically significant(P<0.05);hospitalization days of treatment group was significantly shorter than the control group, respectively(14.2±3.2)d and (19.4± 4.3)d. Conclusion:Bronchoalveolar lavage is a safe, effective method in the treatment of severe pneumonia, the clinical efficacy is significant, worthy of promotion and application.