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目的对比观察纤维支气管镜冲洗治疗老年重症肺炎的临床疗效和安全性。方法选取自2014年6月至2015年6月之间就诊的老年重症肺炎患者80例,随机分为观察组和对照组两组,观察组采用纤维支气管镜冲洗治疗,对照组采用常规治疗,对比观察两组治疗老年重症肺炎的临床疗效和安全性。结果观察组总有效率(95.0%)明显高于对照组总有效率(72.5%)(P<0.05),观察组的发热缓解时间(4.1±1.3h)明显短于对照组,观察组的咳嗽、咳痰消失时间、住院时间及死亡率均明显小于对照组(P<0.05)。结论与常规治疗相比,纤维支气管镜冲洗治疗老年重症肺炎更为有效,同时更有利于控制病情,安全性更好,降低死亡率,值得临床推广。
Objective To observe the clinical efficacy and safety of fiberoptic bronchoscopy in the treatment of elderly severe pneumonia. Methods Eighty elderly patients with severe pneumonia were selected from June 2014 to June 2015. They were randomly divided into observation group and control group. The observation group was treated by fiberoptic bronchoscopy, while the control group was treated by conventional therapy. To compare the clinical efficacy and safety of two groups in the treatment of severe pneumonia in the elderly. Results The total effective rate (95.0%) in the observation group was significantly higher than that in the control group (72.5%) (P <0.05). The duration of fever relief in the observation group (4.1 ± 1.3h) was significantly shorter than that in the control group , Expectoration disappeared time, hospital stay and mortality were significantly less than the control group (P <0.05). Conclusion Compared with conventional treatment, bronchoscopy is more effective in the treatment of severe pneumonia in elderly patients. At the same time, it is more beneficial to control the disease, better safety and lower mortality, which is worthy of clinical promotion.