纤维支气管镜肺泡灌洗对慢性阻塞性肺疾病患者影响分析
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摘要
目的探讨纤维支气管镜肺泡灌洗对慢性阻塞性肺疾病急性加重期患者肺功能的影响。方法选取2016年7月—2017年7月我院收治的慢性阻塞性肺疾病急性加重期患者80例,随机分为两组,对照组实施止咳、平喘、化痰、抗感染等常规治疗,研究组在对照组的方法上再运用纤维支气管镜肺泡灌洗治疗。结果治疗前两组患者的肺功能差异无统计学意义(P>0.05),治疗后研究组FEV1、FEV1%、FEV1%/FVC以及6MWT等指标均高于对照组(P<0.05)。结论在慢性阻塞性肺疾病急性加重期治疗过程当中,纤维支气管镜肺泡灌洗可改善患者肺功能及血气指标。
Objective To investigate the effect of bronchoalveolar lavage on pulmonary function in patients with acute exacerbation of chronic obstructive pulmonary disease.Methods A total of 80 patients with acute exacerbation of chronic obstructive pulmonary disease who were admitted to our hospital from July 2016 to July 2017 were randomly divided into two groups.The control group was treated with conventional therapy such as cough relieving,asthma,phlegm,anti-infection,etc.The study group used fiberoptic bronchoscopy for alveolar lavage in the control group.Results There was no significant difference in lung function between the two groups before treatment(P > 0.05).After treatment,the FEV1,FEV1%,FEV1%/FVC and 6 MWT were significantly higher in the study group than in the control group(P < 0.05).Conclusion In the course of treatment of chronic obstructive pulmonary disease during acute exacerbation,bronchoalveolar lavage can improve lung function and blood gas index of patients,and can be further promoted in clinical practice.
Objective To investigate the effect of bronchoalveolar lavage on pulmonary function in patients with acute exacerbation of chronic obstructive pulmonary disease.Methods A total of 80 patients with acute exacerbation of chronic obstructive pulmonary disease who were admitted to our hospital from July 2016 to July 2017 were randomly divided into two groups.The control group was treated with conventional therapy such as cough relieving,asthma,phlegm,anti-infection,etc.The study group used fiberoptic bronchoscopy for alveolar lavage in the control group.Results There was no significant difference in lung function between the two groups before treatment(P > 0.05).After treatment,the FEV1,FEV1%,FEV1%/FVC and 6 MWT were significantly higher in the study group than in the control group(P < 0.05).Conclusion In the course of treatment of chronic obstructive pulmonary disease during acute exacerbation,bronchoalveolar lavage can improve lung function and blood gas index of patients,and can be further promoted in clinical practice.
引文
[1]崔伟建.纤维支气管镜肺泡灌洗对慢性阻塞性肺疾病急性加重期患者肺功能的影响[J].实用妇科内分泌杂志:电子版,2016,3(12):9-10.
[2]赖敏,莫诗瑶,涂彩坤.纤维支气管镜在慢性阻塞性肺部疾病急性加重期合并严重呼吸衰竭治疗中临床研究[J].慢性病学杂志,2017,5(3):253-255.
[3]李芝兰,李晨娟.支气管镜吸痰与肺泡灌洗对慢性阻塞性肺疾病并呼吸衰竭患者的疗效观察[J].中国实用医刊,2016,43(18):11-13.
[4]柳立岩,张雪云.支气管镜联合无创正压通气治疗慢性阻塞性肺疾病急性加重合并呼吸衰竭患者的疗效观察[J].中国民康医学,2016,28(24):15-16.
[5]吕绍翔,霍敏琴.盐酸氨溴索支气管肺泡灌洗对慢性阻塞性肺疾病合并肺部感染的疗效[J].广东医学,2016,37(s2):228-229.
[6]李永强,黄冬薇,蔡学究.纤维支气管镜联合肺泡灌洗术治疗慢性阻塞性肺疾病合并肺不张[J].实用老年医学,2017,6(11):1050-1052.
[7]刘宇.无创通气联合支气管镜肺泡灌洗治疗慢性阻塞性肺疾病急性发作伴呼吸衰竭的效果观察[J].中国基层医药,2016,23(22):3419-3422.
[8]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(8):1296-1298.
[9]白巧红,钟富宽,陈福涛,等.纤维支气管镜吸痰联合肺泡灌洗对COPD合并呼吸衰竭的临床效果[J].检验医学与临床,2017,14(22):3364-3365.
[10]任婧,孙琳,李芸.围术期护理干预在纤维支气管镜治疗COPD患者中的应用价值[J].西部医学,2016,28(4):567-569.
[11]王明将.便携式纤维支气管镜在慢性阻塞性肺疾病合并严重呼吸衰竭治疗中的应用价值[J].中国继续医学教育,2017,9(9):112-114.
[12]陈会林.纤维支气管镜肺泡灌洗治疗慢性阻塞性肺病呼吸衰竭的临床疗效[J].中国保健营养,2016,26(15):94-95.
[13]刘德智.不同途径纤支镜肺泡灌洗术在机械通气患者中的疗效及安全性比较[J].中国继续医学教育,2016,8(14):129-130.
[2]赖敏,莫诗瑶,涂彩坤.纤维支气管镜在慢性阻塞性肺部疾病急性加重期合并严重呼吸衰竭治疗中临床研究[J].慢性病学杂志,2017,5(3):253-255.
[3]李芝兰,李晨娟.支气管镜吸痰与肺泡灌洗对慢性阻塞性肺疾病并呼吸衰竭患者的疗效观察[J].中国实用医刊,2016,43(18):11-13.
[4]柳立岩,张雪云.支气管镜联合无创正压通气治疗慢性阻塞性肺疾病急性加重合并呼吸衰竭患者的疗效观察[J].中国民康医学,2016,28(24):15-16.
[5]吕绍翔,霍敏琴.盐酸氨溴索支气管肺泡灌洗对慢性阻塞性肺疾病合并肺部感染的疗效[J].广东医学,2016,37(s2):228-229.
[6]李永强,黄冬薇,蔡学究.纤维支气管镜联合肺泡灌洗术治疗慢性阻塞性肺疾病合并肺不张[J].实用老年医学,2017,6(11):1050-1052.
[7]刘宇.无创通气联合支气管镜肺泡灌洗治疗慢性阻塞性肺疾病急性发作伴呼吸衰竭的效果观察[J].中国基层医药,2016,23(22):3419-3422.
[8]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(8):1296-1298.
[9]白巧红,钟富宽,陈福涛,等.纤维支气管镜吸痰联合肺泡灌洗对COPD合并呼吸衰竭的临床效果[J].检验医学与临床,2017,14(22):3364-3365.
[10]任婧,孙琳,李芸.围术期护理干预在纤维支气管镜治疗COPD患者中的应用价值[J].西部医学,2016,28(4):567-569.
[11]王明将.便携式纤维支气管镜在慢性阻塞性肺疾病合并严重呼吸衰竭治疗中的应用价值[J].中国继续医学教育,2017,9(9):112-114.
[12]陈会林.纤维支气管镜肺泡灌洗治疗慢性阻塞性肺病呼吸衰竭的临床疗效[J].中国保健营养,2016,26(15):94-95.
[13]刘德智.不同途径纤支镜肺泡灌洗术在机械通气患者中的疗效及安全性比较[J].中国继续医学教育,2016,8(14):129-130.