目的分析观察纤维支气管镜肺灌洗联合无创正压通气治疗重症肺部感的临床疗效。方法采用随机对照方法将我院呼吸科重症监护病房（ICU）收治的30例重症肺部感染患者随机分为观察组和对照组，每组15例，观察组在常规正压通气治疗的基础上加用纤维支气管镜肺泡灌洗治疗，对照组则仅予以无创正压机械通气治疗，连续治疗2周后，观察两组治疗有效率，结果进行统计学分析。结果观察组治愈5例，好转7例，无效3例，治疗有效率80%；对照组治愈2例，好转6例，无效7例，治疗有效率53.33%；两组间治疗有效率比较差异具有统计学意义（P ＜0.05）。结论在无创正压通气治疗的基础上加用纤维支气管镜肺泡灌洗可以有效提高重症肺炎的治疗有效率，值得在临床推广。%Objective To study the effect of treating severe pneumonia with fiberoptic bronchoscopy in lung lavage combined non-invasive positive pressure ventilation (NIPPV). Methods Choosed 30 severe pneumonia patients in ICU to divide into study group and controlled group with 15 cases in each other. Study group were treated with fiberoptic bronchoscopy in lung lavage combined NIPPV, and controlled group were treated with NIPPV only. Compared the effects in these two groups. Results The effective rate in study group was 80.0%, higher than 53.33%in controlled group. Conclusion The effect of treating severe pneumonia with fiberoptic bronchoscopy in lung lavage combined non-invasive positive pressure ventilation to extend in clinic.
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