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目的:探讨纤维支气管镜联合肺泡灌洗术治疗呼吸机相关性肺炎患者的临床疗效。方法:将在我院接受治疗且诊断为呼吸机相关性肺炎的48例患者,随机平均分为两组,对比两组患者临床治疗效果。结果:两组患者发热时间、肺部啰音消失时间,抗生素使用时间和平均住院时间等,差异均具有显著性(P<0.05),且观察组明显优于对照组。观察组总有效率为91.66%,对照组总有效率为75.00%。两组患者总有效率,差异具有显著性(P<0.05),且观察组明显优于对照组。结论:在常规治疗基础上,采用纤维支气管镜联合肺泡灌洗术治疗方式,可有效治疗呼吸机相关性肺炎,临床疗效显著,值得临床推广应用。
Objective: To investigate the clinical effect of bronchofibroscopy and alveolar lavage in patients with ventilator-associated pneumonia. Methods: Forty-eight patients diagnosed as ventilator-associated pneumonia who were treated in our hospital were randomly divided into two groups, and the clinical effects were compared between the two groups. Results: There was significant difference between the two groups in the fever time, the disappearance of pulmonary rales, the antibiotic use time and the average length of stay in the two groups (P <0.05), and the observation group was significantly better than the control group. The total effective rate was 91.66% in the observation group and 75.00% in the control group. The total effective rate of two groups of patients, the difference was significant (P <0.05), and the observation group was significantly better than the control group. Conclusion: On the basis of routine treatment, combined with bronchofibroscopy and bronchoalveolar lavage can effectively treat ventilator-associated pneumonia, with significant clinical efficacy and worthy of clinical application.