摘要
目的 探究纤维支气管镜吸痰联合肺泡灌洗对重症肺炎患者疗效及生活质量的影响。方法 选取2020年1月至2023年1月期间我院收治的48例重症肺炎患者,随机分为对照组、观察组,分别行常规治疗、纤维支气管镜吸痰联合肺泡灌洗(以下简称“纤支镜吸痰灌洗”)两种治疗方案。在控制治疗变量后,比较两组在治疗效果、血气分析指标、并发症、生活质量,以及相关临床时效指标(症状消失、机械通气与住院时间)上的差异。结果 关于治疗效果,以总有效率反映,该值观察组更高,P<0.05。观察组症状消失、机械通气与住院时间均更短,P<0.05。生活质量评分方面,观察组分值更高,表示生活质量提升情况更加理想,P<0.05。动脉血氧分压、二氧化碳分压、心率、呼吸频率指数方面,在治疗后,均以观察组结果更加理想,P<0.05。观察组并发症发生率8.33%低于对照组33.33%(P<0.05)。结论 纤支镜吸痰灌洗方案,对重症肺炎有良好疗效,可缩短症状缓解时间,加快康复,改善生活质量及血气分析指标,且安全性较好,对患者生活质量具有积极影响。
Objective To explore the effect of bronchoaspiration and alveolar lavage on the efficacy and quality of life in patients with severe pneumonia.Methods 48 patients with severe pneumonia admitted to our hospital from January 2020 to January 2023 were selected and randomly divided into control group and observation group.The control group received conventional treatment and was treated with fiberoptic bronchoscopic sputum aspiration combined with alveolar lavage on the basis of the control group.The clinical efficacy,time to resolution of symptoms,duration of mechanical ventilation,hospital stay,quality of life,blood gas analysis indicators before and after treatment and the occurrence of complications were compared between the two groups.Results Regarding the treatment effect,reflected by the total effective rate,the observation group had a higher value(P<0.05).The symptom disappeared,the duration of mechanical ventilation and hospitalization were shorter than the control group(P<0.05).The quality of life score in the observation group was higher than that in the control group(P<0.05).Heart rate,arterial blood oxygen partial pressure,carbon dioxide partial pressure and respiratory rate index of the observation group were better than the control group(P<0.05).The complication rate in the observation group was 8.33%lower than 33.33%in the control group(P<0.05).Conclusion Fiber bronchoscopic sputum aspiration combined with alveolar lavage can effectively improve the efficacy of patients with severe pneumonia,shorten the remission time of symptoms,speed up rehabilitation,improve the quality of life and blood gas analysis indicators,and have a positive impact on the quality of life of patients.
作者
阮烯
RUAN Xi(Intensive Care Unit of Jiujiang First People's Hospital,Jiujiang 332000,Jiangxi Province,China)
出处
《罕少疾病杂志》
2025年第2期58-60,共3页
Journal of Rare and Uncommon Diseases
关键词
纤维支气管镜
吸痰
肺泡灌洗
重症肺炎
生活质量
Fiber Bronchoscope
Sputum Aspiration
Alveolar Lavage
Severe Pneumonia
Quality of Life
