摘要
目的分析纤维支气管镜在危重症治疗及气道管理中的应用价值,为临床治疗奠定基础。方法将78例危重症患者随机分为试验组和对照组各39例。试验组采用纤维支气管镜治疗,对照组采用常规气道管理。比较2组治疗效果、治疗前后AngⅡ水平变化及血气分析情况。结果试验组总有效率为92.3%高于对照组的69.2%,差异有统计学意义(P<0.05)。治疗后,2组患者血浆AngⅡ水平均低于治疗前,且试验组低于对照组,差异均有统计学意义(P<0.05)。治疗后2组患者血气分析结果优于治疗前,且试验组患者治疗后血气分析结果均显著优于对照组,差异均有统计学意义(P<0.05)。结论在危重症患者的临床治疗过程中,以纤维支气管镜治疗对患者进行气道管理的临床效果显著,可有效改善患者的相关临床指标,应广泛推广。
Objective To analyse the application value of fiberoptic bronchoscopy in critically ill treatment and airway management,and to lay the foundation for clinical treatment.Methods 78 critically ill patients were randomly divided into eXperimental group and control group,each of 39 cases.EXperimental group was treated with fiberoptic bronchoscopy and control group was treated with conventional airway.Compared the treatment effect,Ang Ⅱ level changes and blood gas analysis before and after treatment of two groups.Results The total effective rate was 92.3% in eXperimental group higher than 69.2% in control group,the difference was statistically significant（P〈0.05）.After treatment,the levels of plasma AngⅡ in two groups were lower than those before treatment,and eXperimental group was lower than control group,the difference was statistically significant（P〈0.05）.Conclusion In the course of clinical treatment of critically ill patients,the clinical effect of fiberoptic bronchoscopy in patients with airway management is significant,can effectively improve the relevant clinical indicators of patients,should be widely promoted.
作者
曾波
ZENG Bo(The First People＇ s Hospital of Liangshan Yi Autonomous Prefecture, Sichuan Province, Liangshan Yi Autonomous Prefecture 615000, China)
出处
《临床合理用药杂志》
2017年第16期38-39,共2页
Chinese Journal of Clinical Rational Drug Use
关键词
危重症
纤维支气管镜
气道管理
Critically ill
Fiberoptic bronchoscopy
Airway management
