Application of fiberoptic bronchoalveolar lavage in the treatment of severe pneumonia with respiratory failure
纤维支气管镜肺泡灌洗治疗重症肺炎伴呼吸衰竭的应用研究

摘要

目的 针对当前纤维支气管镜肺泡灌洗治疗用于重症肺炎伴呼吸衰竭患者的效果开展深入分析，为重症肺炎伴呼吸衰竭患者的病情干预效果的提升指明改进方向。方法 选择了我院2020年4月到2022年1月诊断并且治疗的重症肺炎伴呼吸衰竭患者为研究对象，根据入院治疗的时间先后进行编号，随机数字法将50例研究对象分两组。研究组（n=25例）给予纤维支气管镜肺泡灌洗治疗；参照组（n=25例）给予常规治疗。结果 参照组的血气指标不如于研究组，组间差异具有统计学意义（P<0.05）。参照组的呼吸参数低于研究组，组间差异具有统计学意义（P<0.05）。参照组的肺功能指标低于研究组，组间差异具有统计学意义（P<0.05）。参照组的治疗效果低于研究组，组间差异具有统计学意义（P<0.05）。结论 纤维支气管镜肺泡灌洗治疗在临床上可以为患者改善血气指标、呼吸参数、肺功能指标以及治疗效果，实现重症肺炎伴呼吸衰竭患者的治疗目标。

Abstract

Objective To conduct an in-depth analysis of the effect of bronchoalveolar lavage with fiberoptic bronchoscopy in patients with severe pneumonia and respiratory failure, so as to point out the improvement direction for the improvement of the intervention effect of patients with severe pneumonia and respiratory failure.
Methods The patients with severe pneumonia and respiratory failure who were diagnosed and treated in our hospital from April 2020 to January 2022 were selected as the research subjects. They were numbered according to the time of admission and treatment, and the 50 subjects were divided into two groups by random number method. The study group (n=25 cases) were given fiberoptic bronchoalveolar lavage; the reference group (n=25 cases) were given routine treatment.
Results The blood gas indexes of the reference group were not as good as those of the study group, and the difference between the groups was statistically significant (P<0.05). The respiratory parameters of the reference group were lower than those of the study group, and the difference between groups was statistically significant (P<0.05). The lung function indexes of the reference group were lower than those of the study group, and the difference between the groups was statistically significant (P<0.05). The treatment effect of the reference group was lower than that of the study group, and the difference between the groups was statistically significant (P<0.05).
Conclusion   Fiberoptic bronchoalveolar lavage therapy can clinically improve blood gas indexes, respiratory parameters, pulmonary function indexes and therapeutic effects for patients, and achieve the therapeutic goals of patients with severe pneumonia and respiratory failure.