支气管灌洗术对支气管扩张合并肺部感染疗效观察.docVIP

支气管灌洗术对支气管扩张合并肺部感染疗效观察 　　【摘要】 目的 探讨支气管肺泡灌洗术（BAL）对支气管扩张（BE）合并肺部感染的临床效果。方法 选择我院2009年5月至2011年12月确诊为支气管扩张并肺部感染患者共50例，上述患者随机分为观察组和对照组。对照组患者常规给予抗生素、治疗合并症等对症支持治疗。观察组在上述治疗基础上实施支气管肺泡灌洗术。观察两组患者治疗期间发热、咳痰、痰液性质、X线胸片等改善情况，记录两组住院时间。结果 观察组住院时间平均为10.2±4.9天；对照组平均住院时间为21.1±3.1天；观察组住院时间时间显著低于对照组，差异有统计学意义（P0.05）；观察组总有效率和对照组总有效率比较，前者高于后者，差异有统计学意义（P0.05）。结论 支气管灌洗术治疗支气管扩张肺部感染临床效果显著，促进患者康复，值得借鉴。 　　【关键词】 支气管扩张肺部感染；支气管灌洗术 　　doi：10.3969/j.issn.1004—7484（x）.2012.08.005 文章编号：1004—7484（2012）—08—2399—02 　　Bronchial irrigation： to wash with bronchiectasis pulmonary infection curative effects 　　ZHEGN XIAO—HU，WENG LI—ZHEN，LI UXE—LIN 　　Fujian province Fuzhou pulmonary disease hospital，clinical teaching hospital of Fujian Medical University，Fujian Fuzhou 350008 　　【Abstract】Objective Bronchoaleolar laage technique （BAL） on bronchiectasis （BE） with the clinical effect of lung infection.Methods Our method of choice in December 2009 to December 2011 diagnosed as bronchiectasis and lung infection were of 50 cases，these patients were randomly divided into trial group and control group.Patients conventional given antibiotics，treatment and symptomatic treatment of complication support.The observation group in the above treatment on the basis of implementing bronchoalveolar lavage was performed.Watch two groups were during treatment fever，sputum，sputum properties，X line to improve chest radiograph，record the length of time the two groups.Results The observation group in hospital for an average of 10.2±4.9 days；The control group the mean hospital stay was 21.1±3.1days；The observation group the length of time the time was significantly lower than those of the control group，the difference was statistically significant （P0.05）；Observation group total effectiveness and control group total effectiveness is，the former is higher than the latter，the difference was statistically significant （P0.05）.Conclusion Bronchial known as irrigation operation with bronchiectasis lung infection clinical effect is remarkable，and pr