中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
24期
100-102
,共3页
纤维支气管镜%肺泡灌洗%呼吸机相关性肺炎
纖維支氣管鏡%肺泡灌洗%呼吸機相關性肺炎
섬유지기관경%폐포관세%호흡궤상관성폐염
Fiberoptic bronchoscopy%Alveolar lavage%Ventilator associated pneumonia
目的：分析纤维支气管镜吸痰联合肺泡灌洗在呼吸机相关性肺炎治疗中的应用效果。方法随机选取2014年1月-2015年1月间该院收治的90例呼吸机相关性肺炎（VAP）患者，随机分为观察组以及对照组，每组45例，对照组采用常规治疗，观察组在此基础上给予纤支镜联合肺泡灌洗治疗，比较两组患者的机械通气时间、ICU住院时间、住院费用，治疗有效率以及治疗前、治疗后1、4 h的PIP、Cdyn、Raw、WOB指标变化情况。结果治疗后1 h，观察组PIP、Cdyn、Raw指标改善程度均明显优于对照组，治疗后4 h，观察组PIP、Cdyn、Raw、WOB指标改善程度明显优于对照组，观察组治疗有效率为95.56%,对照组为75.56%,观察组患者的机械通气时间、住院天数以及住院费用均明显少于对照组，组间比较差异具有统计学意义，P<0.05。结论纤维支气管镜肺泡灌洗治疗应用于VAP患者能够起到确切的效果，能够有效控制肺部感染，改善呼吸力学参数。
目的：分析纖維支氣管鏡吸痰聯閤肺泡灌洗在呼吸機相關性肺炎治療中的應用效果。方法隨機選取2014年1月-2015年1月間該院收治的90例呼吸機相關性肺炎（VAP）患者，隨機分為觀察組以及對照組，每組45例，對照組採用常規治療，觀察組在此基礎上給予纖支鏡聯閤肺泡灌洗治療，比較兩組患者的機械通氣時間、ICU住院時間、住院費用，治療有效率以及治療前、治療後1、4 h的PIP、Cdyn、Raw、WOB指標變化情況。結果治療後1 h，觀察組PIP、Cdyn、Raw指標改善程度均明顯優于對照組，治療後4 h，觀察組PIP、Cdyn、Raw、WOB指標改善程度明顯優于對照組，觀察組治療有效率為95.56%,對照組為75.56%,觀察組患者的機械通氣時間、住院天數以及住院費用均明顯少于對照組，組間比較差異具有統計學意義，P<0.05。結論纖維支氣管鏡肺泡灌洗治療應用于VAP患者能夠起到確切的效果，能夠有效控製肺部感染，改善呼吸力學參數。
목적：분석섬유지기관경흡담연합폐포관세재호흡궤상관성폐염치료중적응용효과。방법수궤선취2014년1월-2015년1월간해원수치적90례호흡궤상관성폐염（VAP）환자，수궤분위관찰조이급대조조，매조45례，대조조채용상규치료，관찰조재차기출상급여섬지경연합폐포관세치료，비교량조환자적궤계통기시간、ICU주원시간、주원비용，치료유효솔이급치료전、치료후1、4 h적PIP、Cdyn、Raw、WOB지표변화정황。결과치료후1 h，관찰조PIP、Cdyn、Raw지표개선정도균명현우우대조조，치료후4 h，관찰조PIP、Cdyn、Raw、WOB지표개선정도명현우우대조조，관찰조치료유효솔위95.56%,대조조위75.56%,관찰조환자적궤계통기시간、주원천수이급주원비용균명현소우대조조，조간비교차이구유통계학의의，P<0.05。결론섬유지기관경폐포관세치료응용우VAP환자능구기도학절적효과，능구유효공제폐부감염，개선호흡역학삼수。
objective To analyze the effect of sputum suction and alveolar lavage using bronchofiberscope in the treatment of ven-tilator-associated pneumonia (VAP). Methods 90 with VAP admitted to our hospital between January 2014 and January 2015 were randomized into the observation group or the control group with 45 in each one. The patients in the control group received conven-tional treatment based on which those in the observation group underwent sputum suction and alveolar lavage using bronchofiber-scope. The duration of mechanical ventilation, ICU length of stay, hospitalization expenses, effective rate, as well as the changes of PIP, Cdyn, Raw, WOB before, 1h and 4h after the treatment were compared between the two groups. Results The improvements of PIP, Cdyn, Raw, WOB were better in the observation group than in the control group 1h after treatment, as well as those 4h after treatment;the effective rate was higher in the observation group than in the control group (95.56%vs 75.56%);statistically signifi-cant differences were found between the two groups regarding duration of mechanical ventilation, ICU length of stay, hospitalization expenses, P<0.05. Conclusion Sputum suction and alveolar lavage using bronchofiberscope in the treatment of VAP can control lung infection and improve the respiratory mechanics parameters with exact effect.
