摘要
目的分析不同途径纤支镜肺泡灌洗术在机械通气患者中的疗效及安全性。方法将我院收治的68例机械通气患者为对象研究,随机分为对照组和观察组,各34例。观察组于导管外插入纤支镜,对照组于导管内插入纤支镜,均实施吸痰及支气管肺泡灌洗术。观察术前、术后1 h两组患者心率、动脉血二氧化碳分压、动脉血氧分压的变化。结果两组患者均插管顺利、术后心率平稳,差异无统计学意义(P>0.05);观察组患者动脉二氧化碳分压较术前显著下降,动脉血氧分压显著升高,均优于对照组,差异有统计学意义(P<0.05)。结论临床治疗机械通气,应用纤支镜沿气管切开导管外侧进入,实施吸痰及支气管肺泡灌洗术,治疗过程平稳安全,值得推广应用。
Objective To analyze the different approaches bronchoscopy lavage in patients with mechanical ventilation efficacy and safety. Methods Our hospital admitted 68 patients with mechanical ventilation as the object of study, randomly divided into control group and observation group, 34 cases in each group. Observation group was inserted bronchoscopy in the outside of the catheter, control group was inserted bronchoscopy through catheter insertion, sputum aspiration and bronchoalveolar lavage were performed in all patients. The changes of heart rate, arterial carbon dioxide partial pressure and arterial oxygen partial pressure were observed preoperative and postoperative 1 hour in two groups of patients. Results The two groups of patients with smooth intubation, stable heart rate after surgery, the difference was not statistically significant（P〈0.05）; In the observation group, the arterial partial pressure of arterial carbon dioxide significantly decreased, arterial oxygen partial pressure was significantly higher than that of the control group, the difference was statistically significant（P〈0.05）. Conclusion Clinical treatment of mechanical ventilation, the application of fiber support through the trachea cut into the outside of the pipe, the implementation of sputum suction and bronchoalveolar lavage, the treatment process is stable and safe, it is worth promoting the application.
出处
《中国继续医学教育》
2016年第14期129-130,共2页
China Continuing Medical Education
关键词
不同途径纤支镜肺泡灌洗术
机械通气
临床疗效
Bronchoalveolar lavage with different channels
Mechanical ventilation
Clinical effect
