首页|支气管镜下阿米卡星肺泡灌洗对重症肺部感染患者炎症反应及血气分析指标的影响

支气管镜下阿米卡星肺泡灌洗对重症肺部感染患者炎症反应及血气分析指标的影响

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目的 分析支气管镜下阿米卡星肺泡灌洗应用于重症肺部感染患者中的具体效果.方法 回顾性分析2022年9月—2023年9月菏泽医学专科学校附属医院收治的86例重症肺部感染患者的临床资料.按治疗方法不同将其分为对照组和观察组,各43例.对照组行常规对症支持治疗,观察组在对照组基础上实施支气管镜下阿米卡星肺泡灌洗.对比两组的炎症反应及血气分析指标.结果 治疗后,观察组降钙素原(0.46±0.10)ng/mL、SP蛋白(123.21±13.23)ng/mL、人趋化因子C-C-基元配体18(84.78±7.26)ng/mL、超敏C反应蛋白(43.08±4.14)mg/L、二氧化碳分压(40.53±6.26)mmHg均低于对照组,动脉血氧饱和度(93.16±10.21)%、动脉血氧分压(82.69±8.62)mmHg均高于对照组,组间差异有统计学意义(P<0.05).结论 支气管镜下阿米卡星肺泡灌洗应用于重症肺部感染患者,能够缓解机体的炎症反应,改善血气分析指标.
Effects of Alveolar Lavage with Amikacin Under Bronchoscopy on Inflammatory Rresponse and Blood Gas Analysis Indexes in Patients with Severe Pulmonary Iinfection
Objective Analysis of the specific effects of alveolar lavage with Amikacin under bronchoscopy in patients with severe pulmonary infections. Methods The clinical data of 86 patients with severe pulmonary infection admitted to the Affiliated Hospital of Heze Medical College from September 2022 to September 2023 were retrospectively analyzed. According to different treatment methods,they were divided into control group and observation group,43 cases each. The control group received routine symptomatic supportive treatment,and the observation group received alveolar lavage with Amikacin under bronchoscopy on the basis of the control group. The inflammatory response and blood gas analysis indicators were compared between the two groups.Results After treatment,In the observation group,procalcitonin was (0.46±0.10)ng/mL,SP protein (123.21±13.23)ng/mL,human chemokine C-C-basic ligand 18 (84.78±7.26)ng/mL,hypersensitive C-reactive protein (43.08±4.14)mg/L,partial pressure of carbon dioxide (40.53±6.26)mmHg was lower than that of control group,and the arterial oxygen saturation (93.16±10.21)% and arterial partial oxygen pressure (82.69±8.62)mmHg were higher than those of control group,with statistical significance (P<0.05). Conclusion Alveolar lavage with Amikacin under bronchoscopy can alleviate inflammatory reactions and improve blood gas analysis indicators in patients with severe pulmonary infections.

Severe pulmonary infectionBronchoscopyAmikacinAlveolar lavageInflammatory responseBlood gas analysis indicators

徐丽华

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菏泽医学专科学校附属医院呼吸内科,山东菏泽 274000

重症肺部感染 支气管镜 阿米卡星 肺泡灌洗 炎症反应 血气分析指标

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(18)