文档介绍：中国慢性病预防与控制 2010 年 12 月第 18 卷第 6 期 Chin J Prev Contr Chron Dis,December 2010,Vol. 18, ·611·
【论著】
文章编号:1004-6194(2010)06-0611-02
经纤维支气管镜灌洗治疗呼吸机相关性肺炎的临床观察
莫文梅,方毅
摘要:目的探讨经纤维支气管镜灌洗治疗呼吸机相关性肺炎的临床效果。方法将 60 例呼吸机相关性肺炎患者
随机分为观察组和对照组,各 30 例。观察组采用纤维支气管镜肺泡灌洗、吸痰和全身应用抗生素。对照组行常规方法吸
痰、全身应用抗生素,比较二者治疗的效果。结果观察组患者总有效率 %,细菌清除率 %,肺部感染控制时间
(±)d。对照组患者总有效率 %,细菌清除率 %,肺部感染控制时间(±)d。两组差异均存在统计学
意义(P<)。结论经纤维支气管镜灌洗治疗呼吸机相关性肺炎,临床效果确切,安全性高,值得临床推广应用。
关键词:支气管肺泡灌洗;呼吸机相关性肺炎;临床疗效
中图分类号:R563 文献标识码:A
Clinical Observation on the Ventilator -associated Pneumonia Treated with Bronchoscopes Lavage MO Wen -mei,
FANG Yi. People’s Hospital,zhejiang 324400,China
Abstract:Objective To explore the ventilator-associated pneumonia treated with bronchoscopes lavage. Methods Sixty
patients with ventilator-associated pneumonia were randomly divided into the observation group (30 cases) and the control group
(30 cases). The former took the bronchoscopes lavage and systemic antibiotics and the latter took the conventional method of
suctioning and systemic antibiotics. The therapeutic effect was observed pared. Results In the observation group, the
total effective rate and the rate of bacteria clearance were % and %,the pulmonary infection was controlled in( ±)
d;In the control group, the rates were % and %, respectively, and the pulmo