经纤支镜肺泡灌洗治疗难治性下呼吸道感染的临床效果.docVIP

精品论文 参考文献 经纤支镜肺泡灌洗治疗难治性下呼吸道感染的临床效果 湖南省汨罗市人民医院内四科 湖南汨罗 414400 【摘 要】目的：分析经纤支镜肺泡灌洗治疗难治性下呼吸道感染的临床效果。方法：选取2014年1月-2015年12月我院收治的应用经纤支镜肺泡灌洗治疗难治性下呼吸道感染的56例患者做为研究组。另外选取同时期未应用经纤支镜肺泡灌洗治疗难治性下呼吸道感染的55例患者做为对照组。观察组患者给予经纤支镜肺泡灌洗治疗，与对照组比较治疗效果。结果：研究组患者灌洗液送检结果表明细菌的检出率为100%；研究组患者治疗总有效率明显高于对照组（P＜0.05）。结论：经纤支镜肺泡灌洗治疗难治性下呼吸道感染安全有效，能够改善患者症状，减轻患者痛苦。 【关键词】经纤支镜肺泡灌洗治疗 难治性下呼吸道感染 临床观察 【Abstract】: Objective: To analyze the Bronchoscopy was bronchoalveolar lavage in the treatment of intractable lower respiratory tract infection: a clinical effect. Methods: From January 2014-December 2015 in our hospital Bronchoscopy was bronchoalveolar lavage in the treatment of 56 cases of lower respiratory tract infection in patients with refractory for the study group. Also selected were not applied during the Bronchoscopy was bronchoalveolar lavage in the treatment of refractory of 55 patients with lower respiratory tract infection as a control group. Observe patients for Bronchoscopy was bronchoalveolar lavage in the treatment, treatment compared with the control group. Results: A study group of lavage fluid of patients with testing results indicate that the detection rate of the bacteria is 100%; effective rate of research groups were significantly higher than the control group (Plt;0.05). Conclusion: Bronchoscopy was bronchoalveolar lavage in the treatment of intractable lower respiratory tract infections is safe and effective, can improve the symptoms and relieve pain. 经纤支镜肺泡灌洗具有创伤少、操作安全、检测阳性率高的特点。近年来被广泛应用于呼吸道感染的诊断与治疗。本文重点分析了经纤支镜肺泡灌洗治疗难治性下呼吸道感染的临床效果，现报道如下。 1资料和方法 1.1基本资料 选取2014年1月-2015年12月我院收治的应用经纤支镜肺泡灌洗治疗难治性下呼吸道感染的56例患者做为研究组。另外选取同时期未应用经纤支镜肺泡灌洗治疗难治性下呼吸道感染的55例患者做为对照组。纳入标准：①患者均经临床检查，病情符合难治性下呼吸道感染的相关诊断标准。②患者经1周以上常规治疗，效果并不理想。③患者无严重脏器功能及神经、造血系统疾病。④患者无严重精神、意识障碍，知情且自愿参加研究。观察组中男性36例，女性20例；年龄30~75岁，平均年龄（50.3plusmn;4.3）岁；原发病：肺炎25例，支气管扩张引发感染16 例，支气管炎急性期15 例。对照组中男性33例，女性22例；年龄29~77岁，平均年龄（51.8plusmn;4.7）岁；原发病：肺炎23例，支气管扩张引发感染15例，支气管炎急性期18例。两组患者性别、年龄、原发病、临床表现等基本资料比较差异无统计学意义（P＞0.05