摘要
目的探究重症吸入性肺炎患者应用纤支镜吸痰联合俯卧位通气治疗的临床效果。方法选取我院收治的90例重症吸入性肺炎患者,采用随机方式分成观察组与对照组,各45例。观察组采用纤支镜吸痰联合俯卧位通气治疗,对照组采用常规吸痰联合俯卧位通气治疗。比较两组患者治疗前、后的心率、呼吸频率、白细胞计数、体温和肺部湿啰音消退时间。结果治疗后,两组心率及呼吸频率均显著降低,观察组低于对照组(P<0.05);观察组与对照组湿啰音在1周内消退的占比分别为37.78%、17.78%,组间差异有统计学意义(P<0.05);治疗后两组白细胞计数及体温均显著降低,观察组低于对照组(P<0.05)。结论采用纤支镜吸痰联合俯卧位通气治疗重症吸入性肺炎患者,不仅可维持患者白细胞、体温、心率、呼吸稳定,还能尽早消退肺部湿啰音。
Objective To investigate the clinical effect of fiberoptic bronchoscopy combined with supine posterior ventilation in patients with severe aspiration pneumonia.Methods Ninety cases of severe aspiration pneumonia patients treated in our hospital were randomly divided into observation group and control group,with 45 cases in each group.The observation group received fiberoptic bronchoscopy combined with supine posterior ventilation,and the control group received conventional suction combined with prone position ventilation.The clinical effects were compared between the two groups.Results After treatment,the heart rate,respiratory rate,white blood cell count and body temperature in both groups significantly decreased,those in the observation group were lower than the control group(P<0.05).In the observation group and the control group,the proportion of the patients whose wet rales regressed within 1 week were 37.78%and 17.78%,respectively,the difference between the two groups was significant(P<0.05).After treatment,the white blood cell count and body temperature in both groups decreased,and those in the observation group were lower than the control group(P<0.05).Conclusion The fiberoptic bronchoscopy combined with supine posterior ventilation applied in severe aspiration pneumonia can not only maintain the WBC,body temperature,heart rate,respiratory stability,but also eliminate lung wet rales early.
作者
周彦君
ZHOU Yan-Jun(Gastroenterology Department,CNPC Central Hospital,Langfang065000,China)
出处
《临床医学研究与实践》
2018年第8期52-53,共2页
Clinical Research and Practice
关键词
吸入性肺炎
重症
纤支镜吸痰
俯卧位通气
aspiration pneumonia
severe
bronchoscopy-assisted suction
prone position ventilation
