摘要
目的探讨纤维支气管镜治疗慢性阻塞性肺病(COPD)并呼吸衰竭的临床疗效。方法将64例COPD并呼吸衰竭的患者随机分为治疗组和对照组,每组各32例;对照组常规抗感染、祛痰、吸氧,治疗组在此基础上通过纤支镜做支气管肺泡灌洗(BL)、吸痰、局部给药;治疗2周后观察两组的临床疗效。结果治疗组中好转30例,有效率93.75%;对照组中好转24例,有效率75.00%,治疗组有效率高于对照组(P<0.05)。结论经纤维支气管镜行肺泡灌洗局部治疗COPD并呼吸衰竭患者能促进引流,改善支气管阻塞,缩短疗程,减少住院天数,具有重要的临床应用价值。
Objective To discuss the clinical effect of alveolar wash for chronic obstructive pulmonary disease （COPD） and respiratory failure. Methods 64 patients with COPD and respiratory failure were divides into treatment group and control group. All the patients were treated with routine methods, whereas patients in treatment group were treated with alveolar wash by bronchofiberscope, additionly. Results The effective rate of treatment group and control group were 93. 75% and 75. 00%, respectively. Conclusion Alveolar wash with bronchofiberscope can not only promote the blocking of the bronchial tube and the drainage, but also reduce the treatment course.
出处
《西部医学》
2008年第4期721-722,共2页
Medical Journal of West China
关键词
纤维支气管镜
慢性阻塞性肺病
肺泡灌洗
Bronchofiberscope
Chronic blocking pulmonary tuberculosis
Respiratory failure
