气管镜下肺泡灌洗治疗阻塞性肺不张的疗效及复发观察
|
摘要
目的分析气管镜下肺泡灌洗治疗阻塞性肺不张的疗效及复发情况。方法选取2014年11月~2015年9月商丘市第一人民医院呼吸科收治的阻塞性肺不张患者50例,将所有患者按照随机数表法分为两组,各25例。对照组采用常规治疗,观察组采用气管镜下肺泡灌洗治疗。对比两组临床疗效及复发率。结果对照组治疗有效率为68.00%,明显低于观察组92.00%,复发率高于观察组,差异有统计学意义(P<0.05)。结论气管镜下肺泡灌洗治疗阻塞性肺不张临床疗效显著,复发率低,安全可靠,在临床应用中值得推广。
Objective To analyze the clinical efficacy and recurrence of bronchial alveolar lavage in the treatment of obstructive atelectasis. Methods Fifty patients with obstructive pulmonary atelectasis were enrolled indepartment of Respiratory Medicine, Shangqiu First People'shospital from November 2014 to September 2015. All patients weredivided into twogroups according to the random number method. The controlgroup was treated with routine therapy, and the observationgroup was treated with bronchoscopic alveolar lavage. The clinical efficacy and recurrence rate were compared between the twogroups. Results The effective rate of the controlgroup was 68.00%, which was significantly lower than that of the observationgroup(92.00%). The relapse rate washigher than the observationgroup(P <0.05). Conclusion Bronchoalveolar lavage in the treatment of obstructive pulmonary atelectasishas a significant clinical effect, low recurrence rate, safe and reliable, and worthy of promotion in clinical application.
Objective To analyze the clinical efficacy and recurrence of bronchial alveolar lavage in the treatment of obstructive atelectasis. Methods Fifty patients with obstructive pulmonary atelectasis were enrolled indepartment of Respiratory Medicine, Shangqiu First People'shospital from November 2014 to September 2015. All patients weredivided into twogroups according to the random number method. The controlgroup was treated with routine therapy, and the observationgroup was treated with bronchoscopic alveolar lavage. The clinical efficacy and recurrence rate were compared between the twogroups. Results The effective rate of the controlgroup was 68.00%, which was significantly lower than that of the observationgroup(92.00%). The relapse rate washigher than the observationgroup(P <0.05). Conclusion Bronchoalveolar lavage in the treatment of obstructive pulmonary atelectasishas a significant clinical effect, low recurrence rate, safe and reliable, and worthy of promotion in clinical application.
引文
[1]李强.纤维支气管镜下肺泡灌洗术对老年COPD合并肺癌的诊断与治疗价值[J].实用癌症杂志,2016,31(08):1296-1298.
[2]梁昆峰,蒲晓雯,袁钻云,等.肺泡灌洗术与纤支镜在慢阻肺合并肺不张中的诊断与治疗研究[J].临床肺科杂志,2016,21(04):700-702.
[3]梁宗敏,朱志云,梅海峰,等.纤维支气管镜在低咳嗽峰流速拔管后重症监护病房住院慢性阻塞性肺疾病患者中的应用价值[J].中国内镜杂志,2015,21(10):1061-1064.
[4]王向林.纤维支气管镜肺泡灌洗治疗呼吸机相关性肺炎危重患者临床效果研究[J].河南医学研究,2016,25(11):2083-2084.
[5]刘荆湖,邹小凡.支气管肺泡灌洗治疗支气管扩张合并感染的临床效果[J].当代医学,2016,22(16):41-42.
[6]林秾威,林福筹.电子纤维支气管镜肺泡灌洗联合雾化吸入治疗COPD肺源性心脏病合并肺部感染的临床研究[J].临床医学,2016,36(07):8-10.
[2]梁昆峰,蒲晓雯,袁钻云,等.肺泡灌洗术与纤支镜在慢阻肺合并肺不张中的诊断与治疗研究[J].临床肺科杂志,2016,21(04):700-702.
[3]梁宗敏,朱志云,梅海峰,等.纤维支气管镜在低咳嗽峰流速拔管后重症监护病房住院慢性阻塞性肺疾病患者中的应用价值[J].中国内镜杂志,2015,21(10):1061-1064.
[4]王向林.纤维支气管镜肺泡灌洗治疗呼吸机相关性肺炎危重患者临床效果研究[J].河南医学研究,2016,25(11):2083-2084.
[5]刘荆湖,邹小凡.支气管肺泡灌洗治疗支气管扩张合并感染的临床效果[J].当代医学,2016,22(16):41-42.
[6]林秾威,林福筹.电子纤维支气管镜肺泡灌洗联合雾化吸入治疗COPD肺源性心脏病合并肺部感染的临床研究[J].临床医学,2016,36(07):8-10.