王芳

【摘要】 目的：研究分析经纤维支气管镜灌洗治疗重症肺炎病患的临床效果及预后效果。方法：将笔者所在医院2016年8月-2017年7月接诊的84例重症肺炎病患随机分为参照组和研究组，各42例，参照组给予病患祛痰、抗感染、营养支持和对症处理等常规治疗，研究组在其基础上通过纤维支气管镜对感染炎症的肺叶作灌洗治疗。对两组病患症状改善时间、住院时间及预后效果进行观察比较。结果：研究组病患退热时间、咳嗽持续时间、肺部啰音消失时间及住院时间均显著低于参照组，差异有统计学意义（P<0.05）；在预后效果比较上研究组的总体疗效为92.86%，显著高于参照组的73.81%，差异有统计学意义（P<0.05）。结论：在重症肺炎病患常规治疗的基础上应用纤维支气管镜对感染炎症的肺叶进行灌洗治疗效果显著，可尽快消除病患临床症状，缩短其治疗时间，减少经济压力，提高整体预后效果。

【关键词】 纤维支气管镜； 重症肺炎； 疗效

doi：10.14033/j.cnki.cfmr.2018.18.029 文献标识码 B 文章编号 1674-6805（2018）18-00-02

Clinical Efficacy and Prognosis of Patients with Severe Pneumonia Treated with Fiberoptic Bronchoscopy/WANG Fang.//Chinese and Foreign Medical Research，2018，16（18）：-67

【Abstract】 Objective：To study the clinical efficacy and prognosis of patients with severe pneumonia treated with fiberoptic bronchoscopy.Method：From August 2016 to July 2017，84 cases of severe pneumonia patients were randomly divided into control group（42 cases） and study group（42 cases）.Control group patients expectorant， anti-infection， nutritional support and symptomatic treatment such as routine therapy，the study group on the basis of control group by fiber bronchoscope to infection of inflammation of the lung lavage therapy.The improvement time， length of stay and prognosis of the two groups were compared.Result：The duration of fever，duration of cough，the disappearance of lung，and the length of hospital stay were significantly lower than those in the control group，and the differences were statistically significant（P<0.05）.The overall efficacy of the study group was 92.86%，significantly higher than that of the control group， and the difference was statistically significant（P<0.05）.Conclusion：Patients with severe pneumonia application of fiber bronchoscope on the basis of conventional treatment of infection，inflammation of lung lavage therapy effect is remarkable，but as soon as possible to eliminate the patients clinical symptoms，shorten the treatment time，reduce the economic pressure，improve the effect of the overall prognosis.

【Key words】 Fiberoptic bronchoscope； Severe pneumonia； Curative effect

First-authors address：Nanzhang Peoples Hospital，Nanzhang 441700，China

在临床治疗中肺炎是最炎常见和多发的疾病之一，其对人们的身心健康有着严重的威胁。其病死率高居感染性疾病之首，位居人类总死亡率的第5～6位[1]。若没有得到及时有效的治疗，会随着病情发展而致重症肺炎。重症肺炎除伴有肺炎常见的呼吸系统症状外，还会导致呼吸衰竭和相应器官受累，其病情进展迅速、救治有一定的困难，因此具较高的病死率。在治療时病患通常需要入住ICU，行气管插管和机械通气等，为此大大增加了病患的经济压力[2]。因此如何缩短治疗时间、降低病患负担、改善其临床症状、提高早期治疗成效，已成为医学者们广泛关注的重点问题。因此，笔者所在医院此次特在常规治疗的基础上结合纤维支气管镜灌洗对重症肺炎病患进行治疗，现将详情报道如下。……