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经纤维支气管镜支气管肺泡灌洗并注药治疗难治性肺炎的疗效和安全性 被引量:12

Curative effects and safety of bronchofiberscopic bronchoalveolar lavage combined with drug injection in treatment of refractory pneumonia
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摘要 【摘要】目的探讨纤维支气管镜支气管肺泡灌洗合并注药对治疗难治性肺炎的临床疗效和临床分析。方法自2010年6月~2011年6月共78例难治性肺炎来我院就诊,将78例患者按照抽签方法分为对照组和治疗组,每组39例患者,对照组患者接受常规的临床治疗,治疗组患者在进行常规治疗的基础上,再进行纤维支气管镜肺泡灌洗并注药治疗,观察两组患者的临床治疗效果。结果经治疗后,对照组患者中显效10例,有效16例,无效13例;治疗组患者中显效15例,有效17例,元效7例,两组比较,差异具有统计学意义(P〈0.05)。且治疗组组患者再进行纤支镜肺泡灌洗并注药治疗时未出现明显严重的并发症。结论纤支镜肺泡灌洗在治疗难治性肺炎时具有良好的治疗效果,且安全性较高,值得在临床上推广使用。 Objective To study the clinical efficacy and clinical analysis of the bronchofiberscopic bronchoalveolar lavage combined with drug injection in the treatment of refractory pneumonia. Methods Seventy-eight patients with refractory pneumonis admitted to our hospital from June 2010 to June 2011 were divided into the control group and the treatment group according to the drawing, with 39 patients in each group. The control group received conventional clinical treatment and the treatment group received additional bronchofiberscopic bronchoalveolar lavage combined with drug injection treatment on the basis of the conventional treatment.The clinical efficacy of the two groups was observed. Results After the treatment, in the control group,10 patients were remarkably effective,16 patients were effective and 13 patients were ineffective,and in the treatment group,15 patients were remarkably effective,17 patients were effective and only 7 patients were ineffective,with statistically significant differences between the two groups (P 〈 0.05). In addition,no severe complications appeared in the treatment group during the bronchofiberscopic bronchoalveolar lavage combined with drug injection treatment. Conclusion In the treatment of refractory pneumonia, bronchofiberscopic bronchoalveolar lavage has good curative effects and high safety,thereby worthy of clinical promotion and application.
作者 孙砚诚
出处 《中国医药科学》 2013年第16期44-45,共2页 China Medicine And Pharmacy
关键词 纤维支气管镜 肺泡灌洗 注药治疗 难治性肺炎 Bronchofiberscopy Alveolar lavage l)rug injection Refractory pneumonia
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