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目的探讨经纤维支气管镜吸痰及灌洗治疗难治性肺部感染的临床疗效。方法选择难治性肺部感染的患者92例,随机选择55例(实验组)给予纤维支气管镜吸痰及灌洗治疗,另37例(对照组)未予气管镜吸痰灌洗。两组患者其他治疗措施均基本相同。结果实验组有49例感染控制,控制时间是(10.4±2.3)d,对照组有29例感染控制,感染控制时间(14.6±3.1)d。实验组肺部感染控制率显著高于对照组(P<0.05),而控制感染平均时间显著短于对照组(P<0.05)。结论经纤维支气管吸痰及灌洗能有效治疗难治性肺部感染,且无严重并发症。
Objective To investigate the clinical efficacy of bronchoscopy suctioning and lavage for treatment of refractory pulmonary infection. Methods Ninety-two patients with refractory pulmonary infection were enrolled in this study. Fifty-five patients (experimental group) were given bronchoscopy suction and lavage, and the other 37 patients (control group) were not sputum-lavage with bronchoscopy. The two groups of patients with other treatment are basically the same. Results In the experimental group, there were 49 cases of infection control, the control time was (10.4 ± 2.3) d, the control group, 29 cases of infection control, infection control time (14.6 ± 3.1) d. The control rate of pulmonary infection in the experimental group was significantly higher than that of the control group (P <0.05), while the average time of infection control was significantly shorter than that of the control group (P <0.05). Conclusion Bronchial suction and lavage can effectively treat refractory pulmonary infection without serious complications.