支气管镜冲洗治疗误吸后肺炎的临床价值研究.pdfVIP

· 530· 生 旦箜 !鲞箜 翅 旦!!ne dicalScience，Vo1．12，No．6，December．2014 支气管镜冲洗治疗误吸后肺炎的临床价值研究 吴 升 ，杨丽华，梁梅恨 [摘要] 目的 探讨支气管镜冲洗治疗误吸后肺炎的临床价值。方法 将 80例误吸后肺炎患者随机分为两组，各40 例。两组均给予吸氧、化痰 、抗感染等常规治疗，观察组在上述治疗基础上给予支气管镜冲洗，比较两组临床治疗效果。结果 两组治疗前血白细胞计数 (WBC)、中性粒细胞百分比(NEUT％)、超敏 C反应蛋白(hs．CRP)比较差异均无统计学意义 (P 0．O5)；治疗后3d上述指标均较治疗前明显下降(P0．O1)，且观察组较对照组下降更为明显(P0．O1)。观察组体温 恢复正常时间、肺部阴影消失50％所需时间、抗生素使用疗程及住院时间均短于对照组 (P0．O1)；两组住院费用差异无统 计学意义(P0．05)。结论 支气管镜冲洗治疗误吸后肺炎临床效果显著，有临床推广应用价值。 [关键词] 误吸后肺炎；支气管镜；超敏C反应蛋 白 [中国图书资料分类号] R563．1 [文献标志码] A [文章编号] 2095—7858(2014)06—0530—02 ClinicalvalueofbronchiM washingintreatmentofaspirationpneumonia WUSk ，YANGLihua，HANGMeihen．DepartmentofRespiratoryDiseases，theCentralHospitalofKap／ing，Guangdong 529300，China [Abstract] Objective Toinvestigateclinicalvalueofbronchialwashingintreatmentofaspirationpneumonia．Methods Eightycasesofaspirationpneumoniawererandomlydividedintocontrolgroupandthetreatmentgroup(n：40，each)andthetwo groupsweregivenoxygen，expectorant，anti—infectionandthetreatmentgrouponthebasisoftheabovetreatmentunderwentbronchial washingandthetreatmentefficacywascompared．Results Inthetwogroupsofpatientsbeforetreatmenttherewasnostatisticallysig— nificantdifference(P 0．05)betweenthewhitebloodcellcount(WBC)，neutrophilcellpercentage(NEUT％)，high-sensitivityC- reactiveprotein(hs—CRP)，buton3daftertreatmenttheaboveindexesdecreasedsignificantly(P 0．o1)andcomparedwiththe controlgroup，thetreatmentgrouphadamoresignificantdecreased(P0．01)．Thetimethatthebodytemperaturereturnedtonor- mal(P0．O1)，timethatthelungshadowsdisappearedat50％，timeoftheuseofantibioticstreatment，lengthofhospitalstaywere significantlysho~erthanthatofthecontrolrgoup (P 0．O1)，hospitalizationcostsbetweenthetworgoupsshowednosignificant difference(P 0．05)．Conclusion Bronchialwashinginthetreatmentofaspirationpneumoniacanachievesatisfactoryclinical effect． [Keywords] Aspirationpneumonia；Bronchosc