目的观察老年人肺部感染患者痰多难咯者用支气管镜吸痰的临床疗效。方法回顾2012年7月至2013年4月200例老年肺部感染的患者,100例使用支气管镜吸痰作为观察组,另外100例未使用气管镜吸痰作为对照组,2组都常规给予抗炎、化痰药物静脉给药及常规护理,而观察组根据需要间歇给予支气管镜吸痰,对照组给予盲吸。观察2组患者疗效。结果观察组临床症状改善较快,住院天数减少,而对照组临床症状改善较慢,甚至最终气管插管或切开实施呼吸机辅助呼吸。观察组患者的临床症状改善率,治愈率、病死率都优于对照组,2组比较,差异有统计学意义(P<0.05)。结论支气管镜吸痰治疗老年人肺部感染痰多难咯患者方法切实可行,值得推广。 Objective To observe the clinical efficacy of sputum aspiration by bronchoscopy in elderly patients with pulmonary infection. Methods From July 2012 to April 2013, 200 elderly patients with pulmonary infection were retrospectively studied. 100 cases were treated with bronchoscopy as sputum as the observation group and 100 cases without bronchoscopy as the control group. Both groups were routinely given anti-sputum Inflammation, phlegm drug intravenous administration and routine care, while the observation group according to need intermittent bronchoscopy sputum aspiration, the control group to give blind suction. Observed the efficacy of 2 groups of patients. Results The clinical symptoms of the observation group improved rapidly, the days of hospitalization decreased, while the clinical symptoms of the control group improved slowly, or even endotracheal intubation or incision to implement ventilator assisted breathing. The clinical symptom improvement rate, cure rate and mortality rate in the observation group were better than those in the control group. There was significant difference between the two groups (P <0.05). Conclusion Bronchoscopy suction sputum treatment of lung cancer in elderly patients with sputum more difficult slightly method is worthy of promotion.