摘要
目的:探讨重症肺炎经纤维支气管镜灌洗治疗的效果与肺功能情况。方法:选择61例重症肺炎患者随机分为两组,对照组(30例)予以常规治疗,研究组(31例)予以纤维支气管镜灌洗联合方案,分析两组症状改善时间、肺功能与不良反应情况。结果:治疗后,研究组持续咳嗽、退热、肺罗音消失与住院时间均比对照组短,两组比较差异有统计学意义(P<0.05);研究组FEF、FEV1肺功能指标比对照组高,两组比较差异有统计学意义(P<0.05);且研究组发热等不良反应比对照组少,两组比较差异有统计学意义(P<0.05)。结论:重症肺炎经纤维支气管镜灌洗治疗,能有效缩短患者症状改善时间,改善患者肺功能指标,并降低不良反应发生。
Objective:To explore the clinical efficacy of pulmonary bronchoscopy and pulmonary function in severe pneumonia.Methods:61 patients with severe pneumonia were randomly divided into two groups.The control group(30 cases)received routine treatment.The study group(31 cases)received a combination of fiberoptic bronchoscopy.The time of symptoms improvement,lung function,and adverse reaction in the two groups were analized.Results:After treatment,the times of continued cough,fever,pulmonary murmur disappeared and hospital stay in study group were less than those of the control group.The difference was statistically significant(P<0.05).The lung index of FEF and FEV1 in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).The adverse reaction such as fever were less than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:The treatment of severe pneumonia with fiberoptic bronchoscopy can effectively shorten the time of symptom improvement,improve the lung function index of patients,and reduce the occurrence of adverse reaction.
作者
黎昌
LI Chang(Department of Critical Care Medicine,The First People’s Hospital of Fashan,Foshan 528000,China)
出处
《华夏医学》
CAS
2020年第1期57-60,共4页
Acta Medicinae Sinica
关键词
重症肺炎
纤维支气管镜灌洗
肺功能
不良反应
severe pneumonia
fiberoptic bronchoscopy
pulmonary function
adverse reaction
