纤支镜下肺泡灌洗对难治性肺炎及肺炎缓慢吸收患者血气分析指标的.docVIP

纤支镜下肺泡灌洗对难治性肺炎及肺炎缓慢吸收患者血气分析指标的影响 崔伟建（商丘市第一人民医院呼吸科 河南商丘 476100） [摘要] 目的 探讨给予难治性肺炎及肺炎缓慢吸收患者纤支镜下肺泡灌洗治疗对血气分析指标的影响。方法 选取在商丘市第一人民医院呼吸科就诊的难治性肺炎及肺炎缓慢吸收患者50例，随机分为观察组和对照组，各25例。对照组给予常规治疗，观察组在上述治疗基础上给予纤支镜下肺泡灌洗，对比分析两组血气分析指标。结果 治疗前两组pH、PaCO2及PaO2指标水平对比，差异无统计学意义（P＞0.05），治疗后两组pH、PaCO2及PaO2指标水平均比治疗前改善，但观察组改善明显，差异有统计学意义（P＜0.05）。结论 给予难治性肺炎及肺炎缓慢吸收患者纤支镜下肺泡灌洗治疗效果显著，可明显改善血气指标水平，缓解病情，促进康复。 [关键词] 纤支镜下肺泡灌洗；难治性肺炎；肺炎缓慢吸收；血气分析指标 Effects of Bronchoalveolar Lavage with Bronchofibroscope on Blood Gas Analysis Indices in Patients with Refractory Pneumonia and Slow Absorption of Pneumonia CUI Wei-Jian (Department of Respiratory Diseases, Shangqiu First Peoples Hospital, Shangqiu 476100) [Abstract] Objective To study the effects of bronchoalveolar lavage on blood gas analysis in patients with refractory pneumonia and slow absorption of pneumonia. Methods Fifty patients with refractory pneumonia and pneumonia in Shangqiu First People s Hospital were randomly divided into observation group and control group. The control group was treated with routine treatment. The bronchoalveolar lavage of bronchoalveolar lavage was observed in the observation group. The blood gas analysis indexes of the two groups were compared and analyzed. Results There were no significant differences in the levels of pH, PaCO2 and PaO2 between the two groups before and after treatment (P 0.05). After treatment, the levels of pH, PaCO2 and PaO2 were improved, but the improvement was significant Statistical significance (P 0.05). Conclusion Bronchoalveolar lavage is effective in patients with refractory pneumonia and pneumonia, which can significantly improve blood gas level, relieve disease and promote rehabilitation. [Key words] bronchoscopy bronchoalveolar lavage; refractory pneumonia; slow absorption of pneumonia; blood gas analysis 随着环境污染、生活方式的改变，肺炎发病率逐渐增高，此病易反复发作，严重威胁患者身体健康[1]。以往临床上常用抗生素治疗，症状虽得到有效改善，但病情不断进展易发展为难治性肺炎或肺炎缓慢吸收。目前常规方法治疗难治性肺炎及肺炎缓慢吸收疾病的效果较差，且明显增加治疗时间及费用。近年来，随着医学技术不断进步，纤支镜下肺泡灌洗治疗已在多种呼吸系统疾病中应用，且取得较好效果[2]。因此本研究探讨了给予难治性肺