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目的探讨危重病人肺部感染行纤维支气管镜肺灌洗加局部药物治疗的临床效果。方法选取我院呼吸内科2011年12月-2013年12月收治的合并肺部感染危重病人80例,随机分为对照组与观察组,每组40例,对照组行常规治疗,观察组施加纤维支气管镜肺灌洗加局部药物治疗,观察两组患者的治疗效果。结果对照组的住院时间高于观察组,治疗有效率不及观察组,组间比较差异显著(P<0.05),且观察组治疗前后血气分析比较,灌洗后的吸氧浓度(FiO2)、二氧化碳分压(PaCO2)均下降,动脉氧分压(PaO2)升高(P<0.05)。结论危重病人肺部感染行纤维支气管镜肺灌洗加局部药物治疗,临床效果显著,值得推广。
Objective To investigate the clinical effect of bronchoscopy and lung lavage plus local drug therapy in critically ill patients with pulmonary infection. Methods Eighty critically ill patients with pulmonary infection who were admitted to our hospital from December 2011 to December 2013 were randomly divided into control group and observation group, 40 cases in each group. The control group received routine treatment, and the observation group was treated with fiber Bronchoscopy and lung lavage plus local drug treatment, the treatment of two groups were observed. Results The hospitalization time of the control group was higher than that of the observation group, the treatment efficiency was lower than that of the observation group (P <0.05), and the comparison of blood gas analysis, FiO2, Partial pressure (PaCO2) decreased, arterial oxygen pressure (PaO2) increased (P <0.05). Conclusions Pulmonary infection in critically ill patients with bronchoscopic lung lavage plus local drug therapy has significant clinical effect and is worthy of promotion.