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床旁支气管灌洗辅助治疗重症监护病房肺部感染的分析
Effect of Bronchial Lavage on Patients With Pulmonary Infection in Intensive Care Unit (ICU)
【摘要】 目的 观察重症监护病房肺部感染患者纤支镜下吸痰、支气管灌洗治疗的效果。方法 116例患者随机分为常规治疗组 ( 5 6例 )、支气管灌洗组 ( 60例 ) ,观察治疗前及治疗 7~ 10天后两组胸片、痰培养、痰量与性状、动脉血气分析的变化以及拔除或堵塞气管插管情况。结果 支气管灌洗组在胸片、痰量与性状的疗效率较常规治疗组高 (P <0 .0 5~ 0 .0 1)。结论 纤支镜下支气管灌洗能促进重症监护病房患者肺部炎症的好转吸收。
【Abstract】 Objective To study the therapeutic effect of bronchial-lavage on the treatment of pulmonary infection in ICU. Methods 160 cases of pneumonia were divide into two groups randomly: routine treatment group (56 cases) and bronchial-lavage treatment group (60 cases). The changes of following were analyzed before and after treatment between two groups: chest radiographs, the character and quantity of sputum, sputum colture, arterial blood gases analysis (ABG) and situation of tracheal cannula. Results Bronchial-lavage treatment group is superior to routine treatment group in chest radiographs and sputum character, the difference is significant(P<0.05). Conclusions Bronchial-lavage treatment can improve the absorption of pneumonia.
【Key words】 Fiberoptic bronchoscopy; Bronchial-lavage; Intensive care unit (ICU); pulmonary infection;
- 【文献出处】 实用全科医学 ,Applied Journal of General Practice , 编辑部邮箱 ,2004年03期
- 【分类号】R563.1
- 【被引频次】9
- 【下载频次】44