CAJ | 학술논문

目的探讨纤维镜肺泡灌洗加肺导管注药对肺脓肿患者的临床应用价值.方法选取滨州市中心医院2011年2月至2014年2月收治的78例肺脓肿患者为研究对象,采用简单抽样法分成对照组(A组,38例)和治疗组(B组,40例).A组给予常规治疗方案,B组给予纤维镜肺泡灌洗联合肺导管注药方案.对比两组患者临床治疗效果及不良反应发生情况.结果 ①B组治愈27例,总有效率为92.5％,明显高于A组的76.3％,差异有统计学意义(P＜0.05);②B组发热、咳痰等症状消失时间及住院天数均明显低于A组,差异有统计学意义(P＜0.05);③B组不良反应发生率为30.0％,与A组的28.9％比较差异未见统计学意义(P＞0.05).结论肺脓肿患者予以纤维镜肺泡灌洗联合肺导管注药方案,临床疗效确切,值得推广使用.
목적 탐토섬유경폐포관세가폐도관주약대폐농종환자적림상응용개치.방법 선취빈주시중심의원2011년2월지2014년2월수치적78례폐농종환자위연구대상,채용간단추양법분성대조조(A조,38례)화치료조(B조,40례).A조급여상규치료방안,B조급여섬유경폐포관세연합폐도관주약방안.대비량조환자림상치료효과급불량반응발생정황.결과 ①B조치유27례,총유효솔위92.5％,명현고우A조적76.3％,차이유통계학의의(P＜0.05);②B조발열、해담등증상소실시간급주원천수균명현저우A조,차이유통계학의의(P＜0.05);③B조불량반응발생솔위30.0％,여A조적28.9％비교차이미견통계학의의(P＞0.05).결론 폐농종환자여이섬유경폐포관세연합폐도관주약방안,림상료효학절,치득추엄사용.
Objective To investigate the clinical application value of fiber lavage with pulmonary catheter infusion on patients with lung abscess.Methods Seventy-eight pulmonary abscess patients from February 2011 to February 2014 were selected as the research objects, they were divided into control group (group A, n =38) and the treatment group (group B, n =40).Patients in group A were given routine treatment scheme, patients in group B were given fiber lavage combined with pulmonary catheter infusion solutions.The incidence of adverse reactions, clinical curative effect of two groups were compared.Results After treatment, 27 cases were cured in group B, the total effective rate was 92.5％,which was significantly higher than that of group A (76.3％), there was significant difference (P ＜ 0.05).In group B, fever, sputum and other symptoms disappeared time and hospital stay were significantly lower than those in group A, the differences were significant (P ＜ 0.05);The adverse reaction incidence rate in group B was 30％, there was no significant difference compared with group A (28.9％), (P ＞ 0.05).Conclusions The clinical curative effect of fiber lavage combined with pulmonary catheter infusion scheme on patients with lung abscess is significant, it is worth clinical promoting.