纤维支气管镜在ICU并发肺部感染中的临床应用价值

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Abstract ObjectiveTo investigate the clinical value of bronchoscopy in intensive care unit(ICU)complicated with pulmonary infection.Methods96 cases of ICU patients complicated with pulmonary infection in our hospital from February 2014 to July 2016 were randomly divided into control group and observation group,48 cases in each group.Patients in the control group was given routine pulmonary anti infection treatment,while patients in the observation group received bronchoalveolar lavage and sputum aspiration treatment,clinical curative effect and serum inflammatory stress index and arterial blood gas changes before and after treatment in two groups were compared.Results Compared with control group,cough disappearance time,pulmonary rales disappeared time in the observation group was significantly shortened,and the difference was statistically significant(P＜0.05);clinical curative effect of observation group total effective rate(95.83%)was significantly higher than that of the control group(83.33%),and the difference was statistically significant(P＜0.05);for the treatment of 24,72 h compared with the control group,the changes of PCT,hs-CRP in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P＜0.05).PaO2and SaO2,FaO2/FiO2in the observation group was significantly higher than that in the control group,level of PaCO2was significantly lower than that in the control group,and the differences were statistically significant(P＜0.05).ConclusionBronchoalveolar lavage and sputum aspiration in the treatment of ICU complicated with pulmonary infection can effectively improve clinical efficacy,improve respiratory status and inflammatory stress levels in patients with severe pulmonary infection,it is worthy of clinical application.

Key words： Bronchoscopy ICU Pulmonary infection

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	Articles by authors
	MO Jun-de
	LIN Ping
	ZHANG Ri-lin
	CHEN Lian-fang
	ZHONG Guo-rong

Cite this article:

MO Jun-de,LIN Ping,ZHANG Ri-lin, et al. Clinical application value of fiber bronchoscopy in ICU complicated with pulmonary infection[J]. 中国当代医药, 2016, 23(36): 27-29.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2016/V23/I36/27

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