Clinical efficacy of bronchoscopic suction and lavage in the treatment of pulmonary infection in respiratoryintensive care unit
纤维支气管镜吸痰灌洗治疗呼吸重症监护室肺部感染的临床有效性研究

摘要

目的 分析对呼吸重症监护室肺部感染患者采取纤维支气管镜吸痰灌洗治疗的临床效果。方法抽取2021年1月-2022年1月期间我院呼吸重症监护室肺部感染患者92例，以盲分法对其进行分组，接受常规治疗的46例患者为对照组，在常规治疗的基础上接受纤维支气管镜吸痰灌洗治疗的46例患者为观察组，对比两组治疗有效率及机械通气时间、抗生素使用时间以及ICU住院天数。结果 观察组治疗有效率比对照组高，机械通气时间、抗生素使用时间及ICU住院天数均比对照组短，（P＜0.05）。结论 对呼吸重症监护室肺部感染患者在常规治疗的基础上开展纤维支气管镜吸痰灌洗治疗可显著提升治疗效果，缩短患者机械通气以及抗生素使用时间，进而减少患者ICU住院天数。

Abstract

Objective To analyze the clinical effect of bronchoscopy suction and lavage on patients with pulmonary infection in respiratory intensive care unit.
Methods A total of 92 patients with pulmonary infection in the respiratory Intensive Care Unit of our hospital from January 2021 to January 2022 were selected and divided into two groups by blind dividing method. 46 patients who received conventional treatment were in the control group, and 46 patients who received bronchoscopic sputum aspiration and lavage on the basis of conventional treatment were in the observation group. The effective rate, duration of mechanical ventilation, duration of antibiotic use and length of ICU stay were compared between the two groups.
Results The effective rate of the observation group was higher than that of the control group, and the duration of mechanical ventilation, antibiotic use time and ICU stay were shorter than those of the control group (P < 0.05).
Conclusion  s On the basis of routine treatment, bronchoscopic sputum aspiration and lavage can significantly improve the treatment effect, shorten the duration of mechanical ventilation and antibiotic use, and then reduce the length of ICU stay.