摘要
目的:观察床旁纤维支气管镜肺泡灌洗(BAL)治疗重症肺部感染的效果。方法:选取2022年1—10月钦州市灵山县人民医院收治的重症肺部感染患者125例作为研究对象,采用随机数字表法分为对照组(n=60)与研究组(n=65)。对照组予以常规治疗,研究组在对照组基础上应用床旁BAL治疗。比较两组治疗效果。结果:研究组体温恢复正常时间、血常规指标恢复正常时间、肺部炎症吸收时间、住院时间短于对照组,差异有统计学意义(P<0.001)。研究组治疗总有效率高于对照组,差异有统计学意义(P=0.035)。干预后,研究组心率、平均动脉压水平低于对照组,差异有统计学意义(P<0.001);研究组动脉血氧饱和度、动脉血氧分压高于对照组,动脉血二氧化碳分压低于对照组,差异有统计学意义(P<0.05)。结论:重症肺部感染患者应用床旁BAL治疗的效果较好,可促进症状改善,缩短住院时间,改善生命体征及动脉血气分析指标。
Objective:To observe the effect of bedside fiberoptic bronchoalveolar lavage(BAL)in the treatment of severe pulmonary infection.Methods:A total of 125 patients with severe pulmonary infection admitted to Lingshan County People's Hospital of Qinzhou City from January 2022 to October 2022 were selected as the study subjects.They were divided into control group(n=60)and study group(n=65)according to random number table method.The control group was given routine treatment,and the study group was given bedside BAL treatment on the basis of control group.The therapeutic effect of the two groups was compared.Results:The time for returning to normal body temperature,the time for returning to normal blood routine indexes,the time for lung inflammation absorption,and the length of hospital stay in the study group were shorter than those in the control group,and the differences were statistically significant(P<0.001).The total effective rate of treatment in the study group was higher than that in the control group,and the difference was statistically significant(P=0.035).After intervention,the heart rate and mean arterial pressure levels in the study group were lower than those in the control group,and the difference was statistically significant(P<0.001).The arterial oxygen saturation and arterial oxygen partial pressure in the study group were higher than those in the control group,and the arterial carbon dioxide partial pressure in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:The effect of bedside BAL treatment in patients with severe pulmonary infection is good,which can promote symptom improvement,shorten length of hospital stay,and improve vital signs and arterial blood gas analysis indexes.
作者
邝秋秋
Kuang Qiuqiu(Ward 1,Department of Respiratory Medicine,Lingshan County People's Hospital of Qinzhou City,Qinzhou 535400,Guangxi Zhuang Autonomous Region,China)
出处
《中国社区医师》
2023年第29期38-40,共3页
Chinese Community Doctors
基金
广西壮族自治区卫计委自筹经费科研课题(编号:Z2015283)。
关键词
肺部感染
床旁纤维支气管镜肺泡灌洗
动脉血气分析
Pulmonary infection
Bedside fiberoptic bronchoalveolar lavage
Arterial blood gas analysis
