两种方法支气管肺泡灌洗患者低氧血症的观察

2016-03-18何咏虞玉存孙庆生

中国继续医学教育 2016年2期

关键词：方法

何咏虞玉存孙庆生

两种方法支气管肺泡灌洗患者低氧血症的观察

何咏1虞玉存2孙庆生1

【摘要】目的观察远端导管方法与普通方法支气管肺泡灌洗患者低氧血症的程度。方法随机将呼吸科病房60例肺部感染患者分为远端导管方法支气管肺泡灌洗组（实验组）、普通方法支气管肺泡灌洗组（对照组），各30例，对比两组患者低氧血症的发生、发生时间及发生程度进行对比分析。结果实验组低氧血症的发生率、发生程度均低于对照组，发生时间晚于对照组。结论远端导管方法支气管肺泡灌洗较普通方法支气管肺泡灌洗，可降低低氧血症的发生率和发生程度。

【关键词】远端导管方法支气管肺泡灌洗；普通方法支气管肺泡灌洗；低氧血症

作者单位：1 450007郑州市中医院呼吸内科；2 450007 郑州市中医院胸外科

Observation of Two Methods of Bronchoalveolar Lavage Hypoxemia in Patients

HE Yong1YU Yucun2SUN Qingsheng11 Department of Respiratory, Zhengzhou City The Traditional Chinese medicial Hospital, Zhengzhou 450007, China. 2 Deaprtment of Thoracic, Zhengzhou City The Traditional Chinese Medicial Hospital, Zhengzhou 450007, China

[Abstract]Objective To observe the distal catheter method with ordinary bronchoalveolar lavage in patients with the degree of hypoxemia. Methods Selected 60 patients with lung infection in respiratory ward were randomly divided into the distal catheter methods bronchial alveolar lavage group (the experimental group) and normal methods bronchial alveolar lavage group (the control group), To analyzed hypoxemia in 30 cases of patients with the two methods, at time, and occurrence degree. Results The experimental group incidence of hypoxemia were lower than the control group, and the levels of occurred were later than the control group. Conclusion Distal bronchial alveolar lavage catheter method bronchoalveolar lavage can reduce the incidence of hypoxemia and occurrence degree in patients with than the ordinary methods. [Key words] Distal catheter bronchial alveolar lavage method, Ordinary methods bronchoalveolar lavage, Hypoxemia

普通方法支气管肺泡灌洗（BAL）较一般支气管镜检查更易引起低氧血症，不同麻醉下支气管肺泡灌洗低氧的发生率17%～67%，远端导管方法支气管肺泡灌洗液与普通方法支气管肺泡灌洗液低氧血症的发生率目前未见对比性报道[1]。自2012年以来，通过观察远端导管方法支气管肺泡灌与普通方法支气管肺泡灌洗低氧血症的发生率、发生时间和发生程度，发现前者低氧血症的发生率低于后者，且发生时间短、程度轻。具体报道如下。