中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
22期
22-23
,共2页
支气管扩张%感染%支气管镜%疗效
支氣管擴張%感染%支氣管鏡%療效
지기관확장%감염%지기관경%료효
Bronchiectasis%Infection%Bronchoscopy%Curative effect
目的：研究支气管镜下灌洗治疗支气管扩张并感染的临床疗效。方法：2012年5月-2013年7月收治气管扩张并感染患者80例，随机分成观察组和对照组，每组40例。对照组采用祛痰、补液、抗感染、纠正水电解质平衡等治疗；观察组在对照组的基础上加用纤支镜下局部灌洗。2周1个疗程，观察两组抗生素用药时间、临床症状及血清CRP(C-反应蛋白)值。结果：观察组痊愈率(13/40)和总有效率(37/40)均高于对照组(9/40)和(27/40)，两组差异具有统计学意义(P＜0.05)。观察组抗生素用药天数(10.35±4.56)天明显少于对照组(17.30±5.10)天，差异具有统计学意义(P＜0.01)。两组治疗后血清CRP值明显降低，差异具有统计学意义(P＜0.01)。结论：纤支镜治疗支气管扩张并感染能够有效缩短抗生素疗程，减轻患者炎性反应，安全有效，值得在临床上推广应用。
目的：研究支氣管鏡下灌洗治療支氣管擴張併感染的臨床療效。方法：2012年5月-2013年7月收治氣管擴張併感染患者80例，隨機分成觀察組和對照組，每組40例。對照組採用祛痰、補液、抗感染、糾正水電解質平衡等治療；觀察組在對照組的基礎上加用纖支鏡下跼部灌洗。2週1箇療程，觀察兩組抗生素用藥時間、臨床癥狀及血清CRP(C-反應蛋白)值。結果：觀察組痊愈率(13/40)和總有效率(37/40)均高于對照組(9/40)和(27/40)，兩組差異具有統計學意義(P＜0.05)。觀察組抗生素用藥天數(10.35±4.56)天明顯少于對照組(17.30±5.10)天，差異具有統計學意義(P＜0.01)。兩組治療後血清CRP值明顯降低，差異具有統計學意義(P＜0.01)。結論：纖支鏡治療支氣管擴張併感染能夠有效縮短抗生素療程，減輕患者炎性反應，安全有效，值得在臨床上推廣應用。
목적：연구지기관경하관세치료지기관확장병감염적림상료효。방법：2012년5월-2013년7월수치기관확장병감염환자80례，수궤분성관찰조화대조조，매조40례。대조조채용거담、보액、항감염、규정수전해질평형등치료；관찰조재대조조적기출상가용섬지경하국부관세。2주1개료정，관찰량조항생소용약시간、림상증상급혈청CRP(C-반응단백)치。결과：관찰조전유솔(13/40)화총유효솔(37/40)균고우대조조(9/40)화(27/40)，량조차이구유통계학의의(P＜0.05)。관찰조항생소용약천수(10.35±4.56)천명현소우대조조(17.30±5.10)천，차이구유통계학의의(P＜0.01)。량조치료후혈청CRP치명현강저，차이구유통계학의의(P＜0.01)。결론：섬지경치료지기관확장병감염능구유효축단항생소료정，감경환자염성반응，안전유효，치득재림상상추엄응용。
Objective:To study the clinical effect of the bronchoscopy lavage in the treatment of bronchiectasis combined with infection.Methods:80 bronchiectasis patients with infection were selected from May 2012 to July 2013.They were randomly divided into the observation group and the control group with 40 cases in each.The control group were treated with expectorant, fluid infusion,anti infection,correcting water and electrolyte balance treatment.The observation group were treated with bronchoscopy microscopic local lavage on the basis of the control group.Two weeks were one course of treatment.The medication times of antibiotic,clinical symptoms and serum CRP(C-reactive protein) values of patients in two groups were observed.Results:The cure rate(13/40) and the total effective rate(37/40) of the observation group were higher than (9/40) and (27/40) of the control group.The difference between the curative effects of patients in two groups was statistically significant(P<0.05).The medication days of antibiotic in the observation group was (10.35±4.56) days,and it was significantly less than (17.30±5.10) days of the control group.The difference was statistically significant(P<0.01).After treatment,the serum CRP levels of patients in two groups were decreased significantly,and the difference was statistically significant(P<0.01).Conclusion:Bronchoscopy in the treatment of bronchiectasis combined with infection can effectively shorten the course of antibiotics,and relieve inflammation of patients.It is safe and effective.So it is worthy of clinical application.
