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目的分析支气管肺泡灌洗术在重症肺炎有创机械通气辅助治疗中的临床应用效果。方法选择2011年12月—2012年11月来郑州人民医院采用有创机械通气治疗重症肺炎的患者124例,随机将其分成对照组和治疗组,每组各62例。治疗组患者采用支气管肺泡灌洗术,对照组患者未采取支气管肺泡灌洗术,观察两组患者的治疗效果。结果治疗组患者的疗效明显高于对照组患者,差异有统计学意义(P<0.05);两组患者均未发现严重并发症。结论在重症肺炎有创机械通气治疗中辅助支气管肺泡灌洗术能有效的提高疗效,也不会造成严重的并发症,临床医生可将支气管肺泡灌洗术运用到重症肺炎有创机械通气辅助治疗中,从而提高治疗效果。
Objective To analyze the clinical application of bronchoalveolar lavage in the treatment of severe pneumonia with invasive mechanical ventilation. Methods From December 2011 to November 2012, 124 patients with severe pneumonia treated by invasive mechanical ventilation in Zhengzhou People’s Hospital were randomly divided into control group and treatment group, with 62 patients in each group. Bronchoalveolar lavage was used in the treatment group and bronchoalveolar lavage in the control group. The therapeutic effect was observed in both groups. Results The curative effect of the treatment group was significantly higher than that of the control group (P <0.05). No serious complications were found in both groups. Conclusions Auxiliary bronchoalveolar lavage can effectively improve the curative effect in the treatment of severe pneumonia with invasive mechanical ventilation, and will not cause serious complications. Clinicians may use bronchial alveolar lavage to treat severe pneumonia with invasive mechanical ventilation In order to improve the treatment effect.