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目的:探讨纤维支气管镜肺泡灌洗术治疗ICU呼吸机性肺炎的疗效。方法:我院于2012年4月至2014年5月对102例ICU呼吸机性肺炎患者进行回顾性分析,随机分为实验组和对照组各51例,对照组采用常规治疗方法,实验组在对照组的基础上采用纤维支气管镜肺泡灌洗术治疗,观察两组患者的症状消失时间和住院时间及治疗效果。结果:实验组的总有效率(98.0%)明显高于对照组(80.4%),具有统计学意义(P<0.05);实验组的症状消失时间和住院时间明显短于对照组,具有统计学意义(P<0.05)。结论:采用纤维支气管镜肺泡灌洗术治疗ICU呼吸机性肺炎可以明显改善患者的症状,治愈快,具有重要的临床意义,值得推广应用。
Objective: To investigate the curative effect of bronchofibroscope lavage for ICU ventilator pneumonia. Methods: From April 2012 to May 2014, 102 patients with ICU of ventilator-induced pneumonia were retrospectively analyzed in our hospital. They were randomly divided into experimental group and control group, with 51 cases in each group. Conventional treatment was used in the control group. The control group was treated with bronchofibroscopy and bronchoalveolar lavage. The disappearance time, hospitalization time and therapeutic effect of the two groups were observed. Results: The total effective rate (98.0%) in the experimental group was significantly higher than that in the control group (80.4%), with statistical significance (P <0.05). The symptom disappearance time and hospital stay in the experimental group were significantly shorter than those in the control group Significance (P <0.05). Conclusion: The treatment of ICU ventilator pneumonitis with bronchoscopy and lavage of bronchoalveolar lavage can significantly improve the symptoms and cure of patients with ICU, which has an important clinical significance and is worth popularizing and applying.