[1]曾 燕 林勇军.纤维支气管镜肺泡灌洗联合有创机械通气治疗老年吸入性肺炎的疗效观察[J].大众科技,2018,20(05):82-83，90.
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纤维支气管镜肺泡灌洗联合有创机械通气治疗老年吸入性肺炎的疗效观察()
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《大众科技》[ISSN:1008-1151/CN:45-1235/N]

卷:
20
期数:
2018年05期
页码:
82-83，90
栏目:
医药与卫生
出版日期:
2018-05-20

文章信息/Info

Title:
Observation on the curative effect of bronchoscopy alveolar lavage combined withinvasive mechanical ventilation in the treatment of senile aspiration pneumonia
作者:
曾 燕 林勇军
广西壮族自治区职业病防治研究院，广西南宁530021
关键词:
纤支镜; 肺泡灌洗; 老年吸入性肺炎
Keywords:
Key words: Bronchoscopy;  alveolar lavage;  senile aspiration pneumonia
文献标志码:
A
摘要:
目的：研究纤维支气管镜肺（以下简称纤支镜）泡灌洗联合有创机械辅助通气治疗老年性吸入性肺炎的临床疗效。方法：回顾性分析48 例老年性吸入性肺炎患者，采用纤支镜肺泡灌洗联合机械通气治疗25 例患者为观察组，仅给予常规有创机械通气治疗的23例患者为对照组；分析两组患者治疗前后的体温、呼吸频率、白细胞计数、肺部阴影消失时间与动脉血氧分压（PaO2）、呼吸机使用时间、体温下降时间以及治疗的有效率的不同。结果：治疗后，观察组体温、呼吸频率、白细胞、肺部阴影消失时间及PaO2时间的数据明显的优于对照组，观察组的治疗有效率高于对照组，具有差异性（P＜0.05）。观察组总有效率为76.00%（19/25），对照组总有效率52.17%（12/23），两者差异具有统计学意义（P＜0.05）。结论：纤支镜肺灌洗联合机械通气对老年性吸入性肺炎有较好的治疗效果，可降低死亡率。
Abstract:
Abstract: Objective: To study the clinical effect of bronchoscopy alveolar lavage combined with invasive mechanical ventilation inthe treatment of senile aspiration pneumonia. Methods: 48 cases of senile patients with aspiration pneumonia were retrospectivelyanalyzed, the patients treated by the combination use of bronchoscopy alveolar lavage and invasive mechanical ventilations observationgroup (25 cases) and the others treated by only use of routine invasive mechanical ventilation as control group (23 cases), the bodytemperature, breathing rate, white blood cell count, lung shadow disappeared time and arterial blood oxygen partial pressure (PaO2),breathing machine use time, hypothermia treatment time and effect of the patients were analyzed before and after treatment. Results:After treatment, the data of body temperature, breathing rate, white blood cells, lung shadow disappearance time and PaO2 time of theobservation group are obviously superior to that of the control group, and the treatment effectiveness of the observation group wasobviously better than that the of control group, with a difference (P＜0.05). The total effective rate of the observation group was76.00%(19/25), and that of the control group was 52.17%(12/23)，and the difference was statistically significant (P＜0.05). Conclusion：Bronchoscopy alveolar lavage combined with mechanical ventilation has a good curative effect on in the treatment of senile aspirationpneumonia and can reduce mortality.

备注/Memo

备注/Memo:
【收稿日期】2018-03-07【作者简介】曾燕（1982－），女，广西柳州人，广西壮族自治区职业病防治研究院主治医师，研究方向为老年医学。
更新日期/Last Update: 2018-06-13