支气管肺泡灌洗对肺脓肿及支气管扩张合并感染患者肺功能的影响
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摘要
目的研究支气管肺泡灌洗对肺脓肿及支气管扩张合并感染患者肺功能的影响。方法选取2017年1月～2018年1月我院收治的84例肺脓肿及支气管扩张合并感染患者作为研究对象,采用随机分组方法分为对照组(42例)与实验组(42例)。对照组患者接受常规药物治疗,实验组患者接受支气管肺泡灌洗治疗,比较两组患者治疗后的肺功能、治疗效果和不良反应。结果治疗后,实验组患者的用气呼吸量(FVC)、一秒钟最大呼气量(FEV1)、最大呼气流量(PEF)高于对照组患者,差异有统计学意义(P<0.05)。实验组患者的治疗总有效率高于对照组患者,差异有统计学意义(P<0.05)。实验组的不良反应总发生率低于对照组,差异有统计学意义(P<0.05)。结论肺脓肿和支气管扩张合并感染患者接受支气管肺泡灌洗治疗,能够有效改善患者的肺部功能,值得推广应用。
Objective To study the influence of bronchoalveolar lavage on pulmonary function in patients with pulmonary abscess and bronchiectasis complicated with infection. Methods A total of 84 patients with pulmonary abscess and bronchiectasis complicated infection who were admitted to our hospital from January 2017 to January 2018 were selected as the research objects. The patients were divided into the control group(42 cases) and the experimental group(42 cases) by randomized method. Patients in the control group received conventional drug therapy, and patients in the experimental group received bronchoalveolar lavage. The lung function, treatment effect and adverse reactions of the two groups were compared. Results After treatment, the level of breathing volume(FVC), maximum expiratory volume in one second(FEV1), maximum expiratory flow(PEF) of the experimental group were higher than those of the control group, the difference was statistically significant(P<0.05). The total effective rate of the experimental group was higher than that of the control group, the difference was statistically significant(P<0.05). The total incidence of adverse reactions in the experimental group was lower than that in the control group, the difference was statistically significant(P<0.05). Conclusion Patients with pulmonary abscess and bronchiectasis combined with bronchoalveolar lavage can effectively improve the lung function of patients, which is worthy of popularization and application.
Objective To study the influence of bronchoalveolar lavage on pulmonary function in patients with pulmonary abscess and bronchiectasis complicated with infection. Methods A total of 84 patients with pulmonary abscess and bronchiectasis complicated infection who were admitted to our hospital from January 2017 to January 2018 were selected as the research objects. The patients were divided into the control group(42 cases) and the experimental group(42 cases) by randomized method. Patients in the control group received conventional drug therapy, and patients in the experimental group received bronchoalveolar lavage. The lung function, treatment effect and adverse reactions of the two groups were compared. Results After treatment, the level of breathing volume(FVC), maximum expiratory volume in one second(FEV1), maximum expiratory flow(PEF) of the experimental group were higher than those of the control group, the difference was statistically significant(P<0.05). The total effective rate of the experimental group was higher than that of the control group, the difference was statistically significant(P<0.05). The total incidence of adverse reactions in the experimental group was lower than that in the control group, the difference was statistically significant(P<0.05). Conclusion Patients with pulmonary abscess and bronchiectasis combined with bronchoalveolar lavage can effectively improve the lung function of patients, which is worthy of popularization and application.
引文
[1]马建永,李明晖,张春意,等.支气管肺泡灌洗治疗肺脓肿和支气管扩张合并感染的临床研究[J].中华医院感染学杂志,2014,24(4):895-897.
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[4]黄红波.护理干预应用于经电子支气管镜肺泡灌洗术治疗急性肺脓肿的效果观察[J].实用临床护理学电子杂志,2017,2(14):19-20.
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[8]陈裕民.支气管肺泡灌洗联合长期小剂量阿奇霉素治疗支气管扩张患者的效果及肺功能的影响[J].临床与病理杂志,2016,36(5):563-567.
[9]付娟.支气管镜下肺泡灌洗术对支气管扩张合并感染患者肺功能和血气指标的影响[J].承德医学院学报,2017,34(6):481-483.
[10]陈勇,叶永青,刘国栋,等.支气管镜肺泡灌洗联合哌拉西林钠/舒巴坦钠对支气管扩张合并感染患者的治疗效果研究[J].四川医学,2017,38(3):302-305.
[11]张明强,高金明.北京协和医院77例变应性支气管肺曲菌病住院患者临床特征分析[J].中国医学科学院学报,2017,39(3):352-357.
[12]孟玉红.支气管肺泡灌洗联合镜下注入氨溴索治疗支气管扩张疗效观察[J].临床医学,2017,37(6):57-58.
[13]付政平.氨溴索肺泡灌洗对支气管扩张合并感染患者肺功能及动脉血气指标的影响[J].中国临床医生杂志,2017,45(10):45-48.
[14]唐友勇,王正艳,杨中卫,等.支气管肺泡灌洗联合无创正压通气对矽肺患者肺功能的影响[J].内科急危重症杂志,2016,22(3):206-207.
[15]严兵.支气管肺泡灌洗治疗肺脓肿的临床疗效观察[J].临床医药文献电子杂志,2017,4(57):11111.
[16]周立,程旭东,严蕊娜,等.支气管镜下肺泡灌洗对难治性肺炎患者炎症介质和肺功能的影响[J].现代生物医学进展,2017,17(23):4549-4551.
[17]孙贺鑫.浅谈支气管肺泡灌洗大剂量氨溴索治疗急性肺脓肿的效果[J].中国现代药物应用,2017,11(23):86-88.
[2]段进进,尚立群,张永庆,等.清热化痰中药联合经纤维支气管镜肺泡灌洗治疗肺脓肿效果观察[J].现代中西医结合杂志,2017,26(27):3046-3048.
[3]董一山,何桂梅.肺泡灌洗对肺脓肿患者血气分析指标及血清降钙素原、高迁移率蛋白1、肺表面活性蛋白A水平的影响[J].中国临床医生杂志,2017,45(8):35-37.
[4]黄红波.护理干预应用于经电子支气管镜肺泡灌洗术治疗急性肺脓肿的效果观察[J].实用临床护理学电子杂志,2017,2(14):19-20.
[5]郑普光,陈映兰.纤支镜肺泡灌洗加局部注药治疗急性肺脓肿的临床研究[J].现代诊断与治疗,2015,26(14):3233-3234.
[6]黄有环,王瑞光,李志良.噻托溴铵辅助支气管肺泡灌洗用于支气管扩张合并肺部感染的临床观察[J].中国药房,2017,28(20):2813-2816.
[7]戴晓乔,蒋慧,钟平.纤维支气管镜灌洗术治疗支气管扩张合并肺部感染的疗效评价[J].中华全科医学,2017,15(11):1876-1878.
[8]陈裕民.支气管肺泡灌洗联合长期小剂量阿奇霉素治疗支气管扩张患者的效果及肺功能的影响[J].临床与病理杂志,2016,36(5):563-567.
[9]付娟.支气管镜下肺泡灌洗术对支气管扩张合并感染患者肺功能和血气指标的影响[J].承德医学院学报,2017,34(6):481-483.
[10]陈勇,叶永青,刘国栋,等.支气管镜肺泡灌洗联合哌拉西林钠/舒巴坦钠对支气管扩张合并感染患者的治疗效果研究[J].四川医学,2017,38(3):302-305.
[11]张明强,高金明.北京协和医院77例变应性支气管肺曲菌病住院患者临床特征分析[J].中国医学科学院学报,2017,39(3):352-357.
[12]孟玉红.支气管肺泡灌洗联合镜下注入氨溴索治疗支气管扩张疗效观察[J].临床医学,2017,37(6):57-58.
[13]付政平.氨溴索肺泡灌洗对支气管扩张合并感染患者肺功能及动脉血气指标的影响[J].中国临床医生杂志,2017,45(10):45-48.
[14]唐友勇,王正艳,杨中卫,等.支气管肺泡灌洗联合无创正压通气对矽肺患者肺功能的影响[J].内科急危重症杂志,2016,22(3):206-207.
[15]严兵.支气管肺泡灌洗治疗肺脓肿的临床疗效观察[J].临床医药文献电子杂志,2017,4(57):11111.
[16]周立,程旭东,严蕊娜,等.支气管镜下肺泡灌洗对难治性肺炎患者炎症介质和肺功能的影响[J].现代生物医学进展,2017,17(23):4549-4551.
[17]孙贺鑫.浅谈支气管肺泡灌洗大剂量氨溴索治疗急性肺脓肿的效果[J].中国现代药物应用,2017,11(23):86-88.