|
|
Clinical effect of local injection combined with bronchoalveolar lavage in the treatment of bronchiectasis with drug-resistant infection |
FEI Zong-bao |
Department of Respiratory, Traditional Chinese Medicine Hospital of Suqian City in Jiangsu Province, Suqian 223800,China |
|
|
Abstract Objective To investigate the clinical efficacy of local injection combined with bronchoalveolar lavage in the treatment of bronchiectasis with drug-resistant infection. Methods A total of 136 patients with bronchiectasis infected with drug-resistant bacteria were enrolled in our hospital from December 2015 to November 2018. The patients were divided into the observation group (68 cases) and the control group (68 cases) according to the random number table method. The observation group was treated with local injection combined with bronchoalveolar lavage, and the control group was treated with bronchoalveolar lavage. The total effective rate, length of hospital stay, normal blood test time,length of clinical symptoms disappeared, arterial blood of carbon dioxide partial pressure (PaCO2) and arterial oxygen partial pressure (PaO2) indicators were compared between the two groups. Results The total clinical effective rate of the observation group was significantly higher than that of the control group, with significant difference (P<0.05). The length of hospital stay, the normal period of blood routine recovery and the length of clinical symptoms disappeared in the observation group were shorter than those in the control group, the difference was statistically significant (P<0.05).The PaCO2 index of the observation group was lower than that of the control group, the difference was statistically significant (P<0.05). The PaO2 index of the observation group was higher than that of the control group, the difference was statistically significant (P<0.05). Conclusion Local injection combined with bronchoalveolar lavage can effectively improve the prognosis of patients with bronchiectasis, and the clinical value is higher.
|
|
|
|
|
[1] |
肖飞鹰.儿童原发塑型性支气管炎的临床和CT 表现[J].临床肺科杂志,2016,21(5):943-944.
|
[2] |
陈勇,谭经福,廖振辉,等.纤维支气管镜肺泡灌洗联合依替米星局部给药治疗支气管扩张并感染的临床疗效[J].疑难病杂志,2018,17(2):133-136.
|
[3] |
米日古力·依力哈木,陆瑶,王慧,等.纤维支气管镜下肺泡灌洗治疗支气管扩张合并感染的效果及对血气指标、血清炎症指标水平的影响[J].中国医药导报,2018,15(1):53-56.
|
[4] |
戴晓乔,蒋慧,钟平.纤维支气管镜灌洗术治疗支气管扩张合并肺部感染的疗效评价[J].中华全科医学,2017,15(11):1876-1878,1921.
|
[5] |
王惠琴,解岚岚,薛佩妮,等.慢性咳嗽与电子支气管镜下气管-支气管炭末沉积的相关性探讨[J].陕西医学杂志,2017,46(10):1430-1432.
|
[6] |
陈玺,魏春林.支气管镜下氨溴索灌洗对支气管扩张并发感染患者灌洗液中炎症因子的影响[J].海南医学院学报,2017,23(12):1637-1639,1643.
|
[7] |
潘丽娟,毛毅敏,孙瑜霞,等.支气管扩张症继发感染患者的病原菌及耐药性分析[J].中华医院感染学杂志,2017,27(7):1528-1530,1538.
|
[8] |
邓飞.清金化痰汤加味联合纤支镜肺泡灌洗治疗支气管扩张合并感染疗效及对血清炎性因子的影响[J].现代中西医结合杂志,2017,26(11):1190-1192,1200.
|
[9] |
彭红星,曾玉兰,冯伏先,等.支气管扩张合并感染患者纤维支气管镜下支气管分泌物病原菌培养及耐药性分析[J].中国感染与化疗杂志,2017,17(2):140-143.
|
[10] |
陈勇,叶永青,刘国栋,等.支气管镜肺泡灌洗联合哌拉西林钠/舒巴坦钠对支气管扩张合并感染患者的治疗效果研究[J].四川医学,2017,38(3):302-305.
|
[11] |
李芹,高文杰,张蕾,等.麻疹并发闭塞性细支气管炎患儿六例临床分析[J].中国全科医学,2017,20(6):751-754.
|
[12] |
陈蓉,陈洈伟,汤中文,等.肺支气管扩张症伴神经内分泌细胞增生及微小瘤1 例[J].临床肺科杂志,2017,22(2):376-377.
|
[13] |
黄娜,何杰,王春茂,等.纤维支气管镜灌洗中药治疗支气管扩张症并感染的临床研究[J].中国中医急症,2016,25(7):1401-1403.
|
[14] |
王传海,李承红.痰热清辅助治疗老年支气管扩张症合并感染的疗效分析[J].实用老年医学,2016,30(5):381-384.
|
[15] |
夏德刚,李传文,李继刚.支气管镜肺泡灌洗治疗支气管扩张症的临床疗效观察[J].解放军医学院学报,2018,39(3):205-207,214.
|
|
|
|