Application of electronic bronchoscope in aspiration-induced pulmonary infection
10.3760/cma.j.issn.1008-6706.2018.12.006
- VernacularTitle:纤维支气管镜在吸入性肺炎患者治疗中的应用价值研究
- Author:
Xubo JIANG
1
Author Information
1. 烟台市莱阳中心医院呼吸内科
- Keywords:
Bronchoscopy;
Pneumonia;
aspiration;
Bronchoalveolar lavage;
Respiration;
artificial;
Comparative effectiveness research
- From:
Chinese Journal of Primary Medicine and Pharmacy
2018;25(12):1518-1520
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical value of electronic bronchoscopy in the treatment of patients with aspiration pneumonia .Methods 86 patients with aspiration pneumonia were selected from April 2015 to April 2017 in Laiyang Central Hospital of Yantai ,and they were randomly divided into two groups according to the digital table,with 43 cases in each group .The control group was treated with ventilator support and other conventional treatment.The observation group was treated with fiberoptic bronchoscopy and airway lavage on the basis of the control group.The ventilator treatment time,oxygen treatment time,re-intubation rate,treatment success rate,extubation to simplify the lung infection score were compared between the two groups .Results After treatment,the score of simpli-fied pulmonary infection in the observation group was (2.1 ±0.2) points,which was significantly better (6.4 ± 0.3)points of the control group (t=78.204,P<0.01).The ventilator treatment time,oxygen treatment time in the observation group were (2.1 ±0.2)d and(5.5 ±0.1)d,respectively,which were shorter than those in the control group [(3.3 ±0.4)d,(6.2 ±0.3)d](t=17.595,14.516,all P<0.01).The rate of re-intubation in the observa-tion group was lower than that in the control group , the difference was statistically significant (χ2 =63.810, P <0.01 ) .And the treatment success rate of the observation group was higher than that of the control group (χ2 =16.827,P<0.01).Conclusion Pulmonary bronchoscopy can improve the symptoms of lung infection in patients with aspiration pneumonia ,shorten the time of ventilator treatment and improve the clinical treatment effect .
