摘要
目的:评价支气管肺泡灌洗治疗术在慢性阻塞性肺疾病(COPD)加重期的疗效。方法:将67例诊断为COPD加重期的患者随机分为治疗组(37例)和对照组(30例),两组的常规治疗相同,治疗组配合用纤维支气管镜进行支气管肺泡灌洗治疗。观察临床症状体征及治疗组在支气管肺泡灌洗前后的24h血气分析指标,7天后评估疗效。结果:治疗组和对照组的临床症状体征改善有效率分别为94.59%和74.17%(P<0.05),并且在治疗组里经配合用支气管肺泡灌洗前后24h血气分析指标也有明显改善(P<0.05)。结论:配合支气管肺泡灌洗是治疗COPD加重期的有效方法。掌握好适应症,及时清除呼吸道痰液及炎症,是治疗成功的关键。
Objective：To evaluate the curative effect of bronchoalceolar lavage （BAL） in the treatment of chronic obstructive pulmonary disease （COPD） in exacerbation period. Methods： 67 patients that were diagnosed with COPD in exacerbation period were randomly divided into treatment group including 37 patients and control group including 30 patients. The regular treatment in two groups was the same and BAL by fiberoptic bronchoscope was applied in treatment group. The clinical symptoms, sign and blood gas analysis index that was 24 hours ago before BAL and that 24 hours later after BAL in treatment group were observed, and the curative effect had been evaluated on the seventh day after BAL Results：The effective rates in the improvement of clinical symptoms and sign in treatment group and control group were 94.59% and 74.17% respectively （P〈0.05）. Blood gas analysis index that was tested 24 hours later after BAL had been improved obviously compared to that 24 hours ago before BAL （P〈0.05） Conclusion： Regular treatment combining with the BAL is an effective method for the treatment of COPD in exacerbation period. Mastering the indications, removing the sputum and eliminating inflammation in respiratory tract timely are key factors of the successful treatment.
出处
《中国医药导刊》
2010年第6期938-939,共2页
Chinese Journal of Medicinal Guide
