经纤维支气管镜吸痰治疗重症肺部感染的临床效果.docVIP

经纤维支气管镜吸痰治疗重症肺部感染的临床效果 　　[摘要] 目的 观察经纤维支气管镜吸痰治疗重症肺部感染的临床效果。 方法 选取2012年5月～2014年12月本院收治的80例重症肺部感染患者，将其随机分为常规吸痰组和纤支镜吸痰组，每组40例。常规吸痰组患者接受常规吸痰处理，纤支镜吸痰组患者接受经纤维支气管镜吸痰处理。比较两组患者的病死率、治疗效果、临床症状改善时间和住院时间。 结果 纤支镜吸痰组的病死率显著低于常规吸痰组，治疗总有效率显著高于常规吸痰组，临床症状改善时间和住院时间显著短于常规吸痰组，差异有统计学意义（P0.05）。 结论 经纤维支气管镜吸痰治疗重症肺部感染的临床疗效确切，有利于提高患者治疗效果，降低其病死率，促进临床症状的迅速消退和身体康复，缩短住院时间，避免加重感染，值得推广应用。 　　[关键词] 纤维支气管镜；吸痰；重症肺部感染 　　[中图分类号] R563 [文献标识码] A [文章编号] 1674-4721（2015）09（b）-0039-03 　　Clinical effect of bronchofiberscopic sputum aspiration in treatment of severe pulmonary infection 　　FENG Tang-song 　　The Third People′s Hospital of Jingdezhen City in Jiangxi Province，Jingdezhen 333000，China 　　[Abstract] Objective To observe the clinical effect of bronchofiberscopic sputum aspiration in the treatment of severe pulmonary infection. Methods 80 patients with severe pulmonary infection admitted into our hospital from May 2012 and December 2014 were selected and divided into the conventional group and the bronchofiberscopic sputum aspiration group in random，40 cases in each group.The conventional sputum aspiration group was given conventional sputum aspiration treatment，the bronchofiberscopic sputum aspiration group was given bronchofiberscopic sputum aspiration treatment.The case fatality rate，treatment effect，clinical symptom improvement time and hospital stay in two groups were compared. Results The case fatality rate in bronchofiberscopic sputum aspiration group was significantly lower than that of conventional sputum aspiration group，the total treatment effect in bronchofiberscopic sputum aspiration group was significantly higher than that of conventional sputum aspiration group，the clinical symptom improvement time and hospital stay in bronchofiberscopic sputum aspiration group was significantly shorter than those of conventional sputum aspiration group，the differences were significant（P0.05）. Conclusion In the treatment of severe pulmonary infection，bronchofiberscopic sputum aspiration shows accurate