纤维支气管镜在术后重症肺内感染治疗中的作用.PDFVIP

经验交流 2014年  第20卷   第4期 纤维支气管镜在术后重症肺内感染治疗中 的作用 许向华　于一辰　吴海波　曲思澄　林娜 （解放军第202 医院重症医学科，辽宁沈阳　110003 ） [ 摘　要 ]　目的 ：探讨床旁纤维支气管镜治疗术后重症肺内感染的临床价值。方法 ：将2011 年7 月～2013 年 12 月术后发生重症肺内感染入住重症监护病房的患者随机分组，对照组进行 抗感染等常规治疗，治疗组在此基础上行每日纤维支气管镜治疗，观察两组症状、CPIS 评分等 的变化。结果 ：治疗组患者症状缓解快于对照组，差异具有统计学意义（ ＜0.05 ）；治疗第5 P 天开始治疗组CPIS 评分低于对照组，差异有统计学意义（ ＜0.05 ）；治疗组有效率高于对照组， P 但差异不具有统计学意义。结论 ：床旁纤维支气管镜治疗疗效肯定，能更快缓解病情，缩短治 疗时间。 [ 关键词 ]　纤维支气管镜；肺内感染；CPIS 评分 中图分类号：R563　文献标识码： B　文章编号：2095-5200（2014）04-092-03 DOI：10.11876/mimt201404030 Effect of fiberoptic bronchoscopy in the postoperative treatment of severe lung infection XU Xiang-hua YU Yi-chen WU Hai-bo QU Si-cheng LIN Na. Department of ， ， ， ， （ Critical Care Medicine, People’s Liberation Army No.22 Hospital, Shenyang 110003, China ） [Abstract] Objective To investigate the clinical effect of fiberoptic bronchoscopy in the 　 ： postoperative treatment of severe lung infection. Methods The patients in the ICU with severe ： lung infection after fiberoptic bronchoscopy from July 2011 to December 2013 were divided into groups randomly. The patients in the control group received conventional anti-infection treatment, and the patients in the treatment group received daily treatment of fiberoptic bronchoscopy basically. The changes of symptoms, CPIS score were observed. Results The remission of symptoms in the ： treatment group was more rapid than that in the control group, and the difference was significant (P＜ 0.05). There was significant difference in the CPIS score at 5 days after treatment between two groups (P＜0.05), and the CPIS score in the treatment group were lower than that in the contr