摘要
目的研究支气管肺泡灌洗术在吸入性肺炎中的应用及安全性。方法将入选患者,随机分支气管肺泡灌洗组与常规治疗组。(1)支气管灌洗组与常规治疗组治疗结束后进行疗效分析,包括:治疗有效率、痊愈率、平均住院日进行比较;(2)通过比较支气管肺泡灌洗组患者治疗前后血浆NT-pro BNP变化,了解支气管肺泡灌洗对患者心功能的影响。结果 (1)支气管肺泡灌洗组37例,术程顺利,无严重并发症,治疗有效率、痊愈率较常规治疗组高,平均住院日缩短,两组比较,差异有统计学意义(P<0.05);(2)支气管肺泡灌洗组患者入院时、第一次灌洗后24 h内血浆NT-pro BNP比较,差异无统计学意义(P>0.05)。结论支气管肺泡灌洗术治疗吸人性肺炎患者,治疗效果好,对患者心功能无明显影响,安全性高。
Objective To investigate the effect and safety of broncho-alveolar lavage in the treatment of aspi- rated pneumonia. Methods 69 patients with aspirated pneumonia were randomly divided into the observation group and the control group. The observation group received broncho-alveolar lavage, and the control group received normal lavage. The effect and safety were compared between the two groups. The change of NT-pro BNP was compared be- fore and after the treatment in the observation group. Results The total effective rate and the cure rate were obvious- ly higher in the observation group than in the control group. The average duration of hospital stay was shorter in the observation group than in the control group （P 〈 0.05）. There was no significant change on NT-pro BNP in the ob- servation group before and after the treatment. Conclusion The application of broncho-alveolar lavage in the treat- ment of aspirated pneumonia has the advantage of significantly curative effect and high safety.
出处
《临床肺科杂志》
2014年第2期255-256,271,共3页
Journal of Clinical Pulmonary Medicine
