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目的观察尘肺合并感染患者支气管肺段灌洗治疗临床疗效。方法选择70例急性期尘肺患者,随机分为实验组(35例)和对照组(35例)。两组同等病情住院期间接受常规治疗(抗感染、止咳祛痰平喘)。实验组在常规治疗的基础上加支气管肺段灌洗治疗,设计疗程为单个治疗疗程。观察两组患者支气管镜检结果、肺功能、血气分析各参数值变化,作统计学分析。结果实验组患者支气管镜检结果、肺功能、血气分析各参数指标与对照组比较差异有统计学意义(P<0.05),且无明显不良反应。结论尘肺患者支气管肺段灌洗治疗能有效改善尘肺急性加重期患者临床疗效指标,提高患者的生活质量。
Objective To observe the clinical efficacy of bronchoalveolar lavage in patients with pneumoconiosis and infection. Methods Seventy patients with acute phase of pneumoconiosis were randomly divided into experimental group (35 cases) and control group (35 cases). The two groups were treated routinely during hospitalization (anti-infective, cough expectorant and antiasthmatic). The experimental group was treated with bronchoalveolar lavage on the basis of routine treatment, and the design treatment was a single treatment course. Bronchoscopy results were observed in two groups of patients, lung function, blood gas analysis of the parameter values for statistical analysis. Results The results of bronchoscopy, lung function and blood gas analysis in experimental group were significantly different from those in control group (P <0.05), and no obvious adverse reactions were found. Conclusions Bronchoalveolar lavage in patients with pneumoconiosis can effectively improve the clinical efficacy of patients with acute pneumoconiosis and improve the quality of life of patients.