摘要
目的:探究对重症肺部感染患者进行纤维支气管镜肺泡灌洗治疗的效果。方法:选择河池市人民医院收治的200例重症肺部感染患者作为研究对象。随机将其分为对照组和观察组。对两组患者均进行常规治疗,在此基础上对观察组患者进行纤维支气管镜肺泡灌洗治疗,然后比较两组患者血清炎性因子的水平、肺顺应性及入住ICU的时间。结果:治疗后,观察组患者血清降钙素原(PCT)、C反应蛋白(CRP)的水平均低于对照组患者,P<0.05。治疗后,观察组患者的肺顺应性高于对照组患者,差异有统计学意义(P<0.05)。观察组患者入住ICU的时间短于对照组患者,差异有统计学意义(P<0.05)。结论:在对重症肺部感染患者进行常规治疗的基础上,对其实施纤维支气管镜肺泡灌洗治疗能显著减轻其机体的炎症反应,改善其肺顺应性,缩短其入住ICU的时间。
Objective:To explore the effect of bronchoscopic alveolar lavage on patients with severe pulmonary infection.Methods:200 patients with severe pulmonary infection in Hechi People’s Hospital were selected as the research object.They were randomly divided into control group and observation group.Both groups received conventional treatment,and the observati on group received alveolar lavage treatment with fiberoptic bronchoscopy,and then compared the levels of serum inflammatory factors,lung compliance and stay in ICU between the two groups.Results:After treatment,the levels of serum procalcitonin(PCT)and C-reactive protein(CRP)in observation group were lower than those in control group,P<0.05.After treatment,lung compliance in the observation group was higher than that in the control group,with statistical significance(P<0.05).The time of ICU admission in observation group was shorter than that in control group,the difference was statistically significant(P<0.05).Conclusions:On the basis of routine treatment for patients wit h severe pulmonary infection,bronchoscopic alveolar lavage the rapy can significantly reduce the body’s inflammatory response,impr ove their lung compliance,and shorten their stay in ICU.
作者
莫叶秀
陈良英
蒙江琼
石酝琦
冉景兵
MO Yexiu;CHEN Liangying;MENG Jiangqiong;SHI Yunqi;RAN Zaibing(Hechi People’s Hospital,Hechi 547000,Guangxi,China)
关键词
重症肺部感染
纤维支气管镜肺泡灌洗治疗
血清炎性因子
肺顺应性
severe pulmonary infection
Bronchoscope alveolar lavage therapy
Serum inflammatory factors
Compliance of the lung
作者简介
莫叶秀(1984-),女,汉族,广西河池人,本科,主治医师,重症医学科,科室副主任,研究方向:重症感染、重症营养。
