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国际临床研究杂志

International Journal of Clinical Research

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International Journal of Clinical Research. 2024; 8: (7) ; 10.12208/j.ijcr.20240280 .

Application of fiberbronchoscopic alveolar lavage in patients with severe pneumonia complicatedwith respiratory failure
纤维支气管镜肺泡灌洗在重症肺炎合并呼吸衰竭患者中的应用研究

作者: 赵重阳, 王克民 *

盱眙县中医院 江苏淮安

*通讯作者: 王克民,单位:盱眙县中医院 江苏淮安;

引用本文: 赵重阳, 王克民 纤维支气管镜肺泡灌洗在重症肺炎合并呼吸衰竭患者中的应用研究[J]. 国际临床研究杂志, 2024; 8: (7) : 140-142.
Published: 2024/7/27 11:17:17

摘要

目的 研究纤维支气管镜肺泡灌洗在重症肺炎合并呼吸衰竭患者中的应用。方法 本研究以2022年01月-2023年12月住院的80例重症肺炎合并呼吸衰竭病人为研究对象,按治疗方法选择两组40例。观察组采用纤支镜下肺泡灌洗术。结果 观察组总疗效为95.00%,高于对照组77.50%(P<0.05);观察组与对照组相比,血清IL-6、C-反应蛋水平均明显降低(P<0.05);动脉血氧分压、动脉血氧饱和度与对照组相比,均有升高统计学意义(P<0.05)。结论 纤支镜下的肺泡灌洗是一种非常有效的治疗方法,它能使患者的不适症状得到很好地缓解,同时也能使患者的炎性反应得到有效地抑制,从而使疾病得到有效地控制,从而加快患者的康复。

关键词: 纤维支气管镜;重症肺炎;呼吸衰竭;应用

Abstract

Objective To study the application of bronchoscopic alveolar lavage in patients with severe pneumonia complicated with respiratory failure.
Methods In this study, 80 patients with severe pneumonia combined with respiratory failure were hospitalized from January 2022 to December 2023, and 40 cases were selected from two groups according to treatment methods. The observation group was treated with bronchoscopic alveolar lavage.
Results The total curative effect of observation group was 95.00%, which was higher than that of control group 77.50% (P<0.05). Compared with control group, serum IL-6 and C-reactive egg levels in observation group were significantly decreased (P<0.05). Compared with the control group, the partial pressure of arterial blood oxygen and the saturation of arterial blood oxygen were significantly increased (P<0.05).
Conclusion   Bronchoscopic alveolar lavage is a very effective treatment, it can make the patient's discomfort symptoms can be well relieved, but also can make the patient's inflammatory response can be effectively suppressed, so that the disease can be effectively controlled, so as to speed up the patient's recovery.

Key words: Bronchofiberscope; Severe pneumonia; Respiratory failure; Apply

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