摘要
目的:分析重症颅脑损伤合并肺不张患者采用纤维支气管镜的干预效果。方法:回顾性分析2019年9月—2023年9月广饶县人民医院收治的110例重症颅脑损伤合并肺不张患者资料,根据治疗方式的不同将其分为对照组和研究组,各55例。对照组采取常规呼吸道管理措施干预,研究组在对照组基础上采用纤维支气管镜干预。两组均干预7 d。比较两组血气指标、肺功能及肺不张面积。结果:干预后,两组动脉血氧分压均高于干预前,且研究组高于对照组,两组动脉二氧化碳分压均低于干预前,且研究组低于对照组,差异均有统计学意义(P<0.05)。干预后,两组第1秒用力呼气容积、用力肺活量和第1秒用力呼气容积/用力肺活量均高于干预前,且研究组均高于对照组,差异均有统计学意义(P<0.05)。干预后,两组肺不张面积均低于干预前,且研究组低于对照组,差异均有统计学意义(P<0.05)。结论:重症颅脑损伤合并肺不张患者在常规治疗基础上联合纤维支气管镜进行治疗,能够减小肺不张面积,在稳定血气指标的同时可进一步促进肺功能恢复,具有临床应用价值。
Objective:To analyze the intervention effect of fiberoptic bronchoscopy in patients with severe craniocerebral injury complicated with atelectasis.Methods:The data of 110 patients with severe craniocerebral injury combined with atelectasis admitted to Gugrao County People’s Hospital from September 2019 to September 2023 were retrospectively analyzed,and they were divided into a control group and a study group according to different treatment methods,with 55 cases in each group.The control group was treated with routine respiratory management measures,and the study group was treated with fiberbronchoscopy on the basis of the control group.Both groups were intervened for 7 days.Blood gas index,lung function and atelectasis area were compared between the two groups.Results:After intervention,the arterial blood oxygen partial pressure of both groups was higher than before intervention,and the study group was higher than the control group,the arterial carbon dioxide partial pressure of both groups was lower than before intervention,and the study group was lower than the control group,the differences were statistically significant(P<0.05).After intervention,forced expiratory volume,forced vital capacity and forced expiratory volume/forced vital capacity in the first second in both groups were higher than before intervention,and the study group was higher than the control group,the differences were statistically significant(P<0.05).After intervention,the atelectasis area of both groups was lower than before intervention,and the study group was lower than the control group,the differences were statistically significant(P<0.05).Conclusion:The treatment of patients with severe craniocerebral injury complicated with atelectasis on the basis of conventional treatment combined with fiberoptic bronchoscopy can reduce the area of atelectasis,stabilize blood gas index and further promote the recovery of lung function,which has clinical application value.
作者
刘海光
程亮
武军
李波
李晓鹏
LIU Haiguang;CHENG Liang;WU Jun;LI Bo;LI Xiaopeng(Department of Emergency,The People’s Hospital of Guangrao,Guangrao 257300,China;Department of Critical Care Medicine,The People’s Hospital of Guangrao,Guangrao 257300,China)
出处
《中国伤残医学》
2024年第24期53-56,共4页
Chinese Journal of Trauma and Disability Medicine
关键词
重症颅脑损伤
肺不张
纤维支气管镜
血气分析
Severe craniocerebral injury
Atelectasis
Fiberoptic bronchoscopy
Blood gas analysis
