CAJ | 학술논문

目的：对纤维支气管镜灌洗治疗昏迷患者合并重症肺部感染的疗效进行探讨分析。方法将我院自2014年3月～2015年3月收治的112例昏迷合并重症肺部感染患者，随机分成实验组和对照组，对照组行常规抗感染治疗，实验组在对照组的基础上应用纤维支气管镜灌洗联合治疗，对比两组患者的临床效果。结果实验组患者血象恢复正常时间，肺部症状消失时间，体温恢复正常时间，机械通气时间等临床指标均明显优于对照组，对比差异显著，P＜0.05；实验组患者有效率为92.9%，明显优于对照组患者，对比差异有统计学意义，P＜0.05。结论纤维支气管镜灌洗治疗昏迷患者合并重症肺部感染疗效好，可行性高。
목적：대섬유지기관경관세치료혼미환자합병중증폐부감염적료효진행탐토분석。방법장아원자2014년3월～2015년3월수치적112례혼미합병중증폐부감염환자，수궤분성실험조화대조조，대조조행상규항감염치료，실험조재대조조적기출상응용섬유지기관경관세연합치료，대비량조환자적림상효과。결과실험조환자혈상회복정상시간，폐부증상소실시간，체온회복정상시간，궤계통기시간등림상지표균명현우우대조조，대비차이현저，P＜0.05；실험조환자유효솔위92.9%，명현우우대조조환자，대비차이유통계학의의，P＜0.05。결론섬유지기관경관세치료혼미환자합병중증폐부감염료효호，가행성고。
Objective Bronchoscopy lavage coma patients with severe pulmonary infection explore the efficacy analysis.MethodsIn our hospital from March 2014~March 2015 period 112 cases admitted in a coma with severe pulmonary infection were randomly divided into experimental and control groups, the control group underwent conventional anti-infection treatment, the experimental group basis in the control group application bronchoscopy lavage combination therapy, the clinical results compared two groups of patients. ResultsThe patients blood return to normal, pulmonary symptoms disappeared time, temperature returned to normal time, duration of mechanical ventilation and other clinical parameters were significantly better than the control group, compared to a significant difference,P<0.05; the effective rate of the experimental group were 92.9% significantly better than the control group of patients, the difference was statistically significant comparison,P<0.05. Conclusion Bronchoscopy lavage coma patients with severe pulmonary infection is effective, high feasibility.