中国现代医生杂志欢迎您.   今天是:          
梁志朋.经纤支镜肺泡灌洗治疗慢性阻塞性肺疾病急性加重期并呼吸衰竭临床疗效[J].中国现代医生,2021,59(3):97-100
经纤支镜肺泡灌洗治疗慢性阻塞性肺疾病急性加重期并呼吸衰竭临床疗效
Clinical effect of bronchofiberoscope alveolar lavage in the treatment of acute exacerbation of chronic obstructive pulmonary disease with respiratory failure
  
DOI:
中文关键词:  慢性阻塞性肺疾病  急性加重期  呼吸衰竭  纤支镜肺泡灌洗
英文关键词:Chronic obstructive pulmonary disease  Acute exacerbation period  Respiratory failure  Bronchofiberoscope alveolar lavage
基金项目:
作者单位
梁志朋 广东省茂名市电白区人民医院全科医学科广东茂名 525400 
摘要点击次数: 487
全文下载次数: 1313
中文摘要:
      目的 研究慢性阻塞性肺疾病急性加重期(AECOPD)并呼吸衰竭患者采用纤支镜肺泡灌洗的治疗效果。方法 选取2018 年9 月至2020 年3 月我院收治的90 例AECOPD 并呼吸衰竭患者,按照就诊先后顺序随机分为观察组与对照组,每组各45 例。观察组予以纤支镜肺泡灌洗治疗,对照组予以常规疗法治疗,比较两组患者的血清炎症指标、血气指标、肺功能及临床疗效。结果 治疗前两组血清炎症指标、血气值及肺功能比较,差异无统计学意义(P>0.05);治疗后,观察组PCT、CRP、WBC 及PaCO2指标均明显低于对照组(P<0.05),PaO2、SaO2、pH 值、FEV1及PEF 指标均明显高于对照组(P<0.05);观察组总有效率为95.56%,明显高于对照组的82.22%,差异有统计学意义(P<0.05)。结论 纤支镜肺泡灌洗治疗AECOPD 并呼吸衰竭的疗效确切、安全可靠,值得推崇。
英文摘要:
      Objective To study the effect of bronchofiberoscope alveolar lavage in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) and respiratory failure.Methods Ninety patients with AECOPD and respiratory failure admitted to our hospital from September 2018 to March 2020 were enrolled and randomly divided into the observation group and the control group,with 45 cases in each group.The observation group was given bronchofiberoscope alveolar lavage treatment,and the control group was treated with conventional therapy.The serum inflammation indexes,blood gas indexes,lung function and clinical efficacy between the two groups were compared.Results There was no difference in serum inflammation indexes,blood gas values and lung function between the two groups before treatment (P>0.05).After the treatment,the levels of PCT,CRP,WBC and PaCO2in the observation group were lower than those in the control group(P<0.05),the levels of PaO2,SaO2,pH,FEV1and PEF in the observation group were higher than those in the control group(P<0.05).The total effective rate in the observation group(95.56%) was higher than that(82.22%) in the control group,with significant difference(P<0.05).Conclusion Bronchofiberoscope alveolar lavage is effective,safe and reliable in the treatment of AECOPD and respiratory failure,and is worthy of praise.
查看全文  查看/发表评论  下载PDF阅读器
关闭
    • 关键词 :
    • 中国医生
    • 中国现代医生
    • 中国临床医生
    • 中国医师
    • 主任医师
    • 中国医学
    • 中华医学
    • 中国医院
    • 中国医药
    • 中国医疗
    • 现代医生
    • 现代医学
    • 现代医药
    • 现代医院
    • 现代药物
    • 现代护理
    • 现代临床
    • 医学杂志
    • 药学杂志
    • 医药杂志
    • 医生杂志
    • 医师杂志
    • 医疗杂志
    • 医药期刊
    • 医学期刊
    • 医药卫生期刊
    • 医药论文
    • 医学论文
    • 科研论文
    • 职称论文
    function PdfOpen(url){ var win="toolbar=no,location=no,directories=no,status=yes,menubar=yes,scrollbars=yes,resizable=yes"; window.open(url,"",win); } function openWin(url,w,h){ var win="toolbar=no,location=no,directories=no,status=no,menubar=no,scrollbars=yes,resizable=no,width=" + w + ",height=" + h; controlWindow=window.open(url,"",win); } &et=3C06DB566315F8DC786D8F01EA4720E0AA57E13C1280777A8BD5336FC6F028AC4D451E84514B01764C470D747F0D62EC59119785839FF2EEC793C56AC184FB0C5BF482657E2F17E011897F94CBC2DAA9CF4D3541A1D44539A94B177616ABBC5CB0D7EAB19A645EBF3845FD39971E25E9B22310E06E507061EDA9684C1FE3DC43189E1E0C71B37B748E94C4C78606647988A8CBDE8AAE8892CE11503677D83722&pcid=A9DB1C13C87CE289EA38239A9433C9DC&cid=BB33F1C95224820A&jid=8EDAEC11C165015425CEEA15366CB0A7&yid=9475FABC7A03F4AB&aid=&vid=&iid=38B194292C032A66&sid=C3BF5C58156BEDF0&eid=8C83C265AD318E34&fileno=2021906&flag=1&is_more=0">