急诊重症监护室重症患者急救中应用纤维支气管镜的临床效果分析

摘要

Objective To analyze the clinical effect offiberoptic bronchoscopy in patients in emergency intensive care unit (EICU).Methods 100 severe patients undergoing mechanical ventilation were randomly divided into two groups:the control group was treated with routine anti-infection and sputum aspiration,and the study group was treated with bronchoalveolar lavage and sputum aspiration with fiberoptic bronchoscopy,sputum samples culture.The effect was compared between the two groups.Results The mortality rate (0％),the time of mechanical ventilation [(6.2±0.8) days],and the treatment time in ICU [(8.0±1.2) days] in the study group were lower than those in the routine group [12.0％,(8.7±1.3) days,(9.7±1.5) days],and the improvement of serum and blood gas indexes in the study group was significantly better than that in the routine group (P＜0.05).Conclusion Fiberoptic bronchoscopy can effectively inhibit inflammatory factors,improve blood gas indexes,shorten treatment time,and improve prognosis of EICU patients.%目的 分析急诊重症监护室(EICU)重症患者急救中应用纤维支气管镜的临床效果.方法 随机将100例行机械通气治疗的重症患者分为研究组、常规组,常规组给予常规抗感染、吸痰治疗,研究组同时联合纤维支气管镜进行支气管肺泡灌洗、吸痰、痰标本培养,比较两组效果.结果 研究组病死率(0％)、机械通气时间[(6.2±0.8)d]、ICU治疗时间[(8.0±1.2)d]均低于常规组[12.0％、(8.7±1.3)d、(9.7±1.5)d],两组比较差异均有统计学意义(均P＜ 0.05);且研究组血清、血气指标改善情况明显优于常规组,差异均有统计学意义(均P＜ 0.05).结论 在EICU重症患者急救过程中应用纤维支气管镜可以有效抑制炎性因子,改善血气指标,缩短治疗时间,改善患者预后.