支气管肺泡灌洗治疗老年重症肺炎合并呼吸衰竭的临床疗效分析

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1、支气管肺泡灌洗治疗老年重症肺炎合并呼吸衰竭的临床疗效分析范池岩内江市东兴区人民医院四川内江641000【摘要】R的：分析支气管肺泡灌洗治疗老年重症肺炎合并呼吸衰竭的临床疗效。方法：将我院收治的74例老年重症肺炎合并呼吸衰竭的患者随机分为观察组37例和对照组37例。对照组患者行常规治疗方案，观察组患者在常规治疗的棊础上行支气管肺泡灌洗治疗。评价2组患者的临床治疗效果；于2组患者治疗前及治疗10d后，分别检测患者的血白细胞计数(WBC)和血清C反应蛋白(CRP)、血降钙素原(PCT)炎性指标水平；另统计2组患者的呼吸衰竭纠

2、正时间、肺部炎症棊本吸收时间、住院时间及28d死亡率。结果：观察组患考临床治疗的总有效率为83.78%,对照组为70.27%,2组比较，差异具有统计学意义(P<0.05)。治疗后，观察组患者的平均血WBC及血清CRP、PCT炎性指标水平均低于对照组(P<0.05)。观察组患考的平均呼吸衰竭纠正时间、胸部CT示炎症基本吸收时间及住院时间均短于对照组(P<0.05);观察组患者28d死亡率为18.92%,低于对照组的32.43%,差异具有统计学意义(P<0.05)。结论:在常规治疗的基础上联合支气管肺泡灌洗治疗能有效提高老

3、年重症肺炎合并呼吸衰竭的临床疗效，值得临床推广应用。【关键词】重症肺炎；呼吸衰竭；老年；支气管肺泡灌洗【中图分类号】R536【文献标识码】B【文章编号】1674-8999(2015)8-0285-02Analysisofbronchoalveolarlavagetreatmentofsenileseverepneumoniatheclinicalcurativeeffectofcombinationofrespiratoryfailure[Abstract]objective:toanalyzeofbronchoalv

4、eolarlavagetreatmentofsenileseverepneumoniatheclinicalcurativeeffectofcombinationofrespiratoryfailure.Methods:ourhospital’s74casesofsenileseverepneumoniacombinationofrespiratoryfailurepatientswererandomlydividedintotheobservationgroup(37cases)andthecontrol

5、group(37cases).Thepatientsofcontrolgroupweretreatedbyroutinetherapy,thepatientsofobservationgrouponthebasisofconventionaltreatmentweretreatedbybronchoalveolarlavage.2groupsofpatientswiththeclinicaltreatmenteffectwereevaluated;2groupsofpatientsbeforeandafter10dtr

6、eatment,thepatient'sbloodleucocytecount(WBC)andserumofbloodc-reactiveprotein(CRP)andcalcitoninoriginal(PCT)levelofinflammatoryindicesweredetected;Twogroupofpatientswithrespiratoryfailuretocorrecttime,lungshadowcompletelydisappeartime,lengthofhospitalstayand28dmo

7、rtalitywerestatistics.Results:observationgroupofpatientswithclinicaltreatmentthetotaleffectiveratewas83.78%,controlgroupwas70.27%,thecomparisonoftwogroups,statisticallysignificantdifference(P<0.05).Aftertreatment,theobservationgroupofpatientswithaveragebloodW

8、BCandthelevelofserumCRPandPCTinflammatoryindexwerelowerthanthatofcontrolgroup(P<0.05).Averageobservationgroupofpatientswithrespiratoryfailuretocorrecttime,chestCTi