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目的探讨纤支镜灌洗治疗老年重症肺炎的临床疗效。方法选取2012—2014年九江学院附属医院收治的老年重症肺炎患者80例,按随机数字表法分为观察组与对照组,各40例。对照组患者予以抗菌药物治疗,观察组患者予以纤支镜灌洗治疗。观察两组患者临床症状(发热、咳嗽、肺部啰音)持续时间、呼吸机使用时间、入住ICU时间及住院时间。结果观察组患者发热、咳嗽、肺部啰音持续时间、呼吸机使用时间、入住ICU时间、住院时间短于对照组,差异有统计学意义(P<0.05)。结论纤支镜灌洗治疗老年重症肺炎的临床疗效显著,能有效改善患者临床症状,缩短患者住院时间。
Objective To investigate the clinical efficacy of bronchofiberscopy in the treatment of elderly severe pneumonia. Methods Eighty elderly patients with severe pneumonia admitted to Jiujiang University Hospital from 2012 to 2014 were divided into observation group and control group according to the random number table method, 40 cases in each group. Patients in the control group were treated with antibiotics, and patients in the observation group were treated with bronchofiberscopy. The clinical symptoms (fever, cough, pulmonary rales) duration, ventilator use time, ICU stay and hospital stay in both groups were observed. Results The fever, cough, duration of pulmonary rales, ventilator use time, ICU stay and hospital stay in the observation group were significantly shorter than those in the control group (P <0.05). Conclusion The clinical effect of bronchofiberscopy in the treatment of elderly severe pneumonia is significant, which can effectively improve the clinical symptoms and shorten the hospitalization time.