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保护性支气管肺泡灌洗在成人重症肺炎治疗中的应用价值研究

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目的 分析保护性支气管肺泡灌洗治疗成人重症肺炎患者的临床效果.方法 随机选取2022年6月—2023年6月山东省单县中心医院收治的80例成人重症肺炎患者为研究对象,根据不同治疗方法分为观察组和对照组,各40例.观察组应用保护性支气管肺泡灌洗治疗,对照组实施常规治疗.比较两组患者临床疗效和不良反应发生情况.结果 观察组治疗总有效率为95.00%(38/40),高于对照组的80.00%(32/40),差异有统计学意义(χ2=4.114,P<0.05).观察组不良反应发生率低于对照组,差异有统计学意义(P<0.05).观察组超敏C反应蛋白水平低于对照组,CD4+水平高于对照组,差异有统计学意义(P均<0.05).结论 保护性支气管肺泡灌洗治疗成人重症肺炎患者可提高临床治疗有效率,改善炎症因子和免疫功能,且不良反应发生率较低.
Application Value of Protective Bronchoalveolar Lavage in the Treatment of Severe Adult Pneumonia
Objective To analyze the effectiveness of protective bronchoalveolar lavage in the treatment of adult severe pneumonia patients.Methods A total of 80 adult patients with severe pneumonia admitted to Shan County Central Hospital from June 2022 to June 2023 were randomly selected as the study objects,and were divided into observation group and control group by different treatment methods,with 40 cases in each group.The observation group received protective bronchoalveolar lavage treatment,while the control group received routine treatment.The clinical efficacy and adverse reactions were compared between the two groups.Results The total effective rate of the observation group was 95.00%(38/40),which was higher than that of the control group was 80.00%(32/40),the difference was statisti-cally significant(χ2=4.114,P<0.05).The incidence of adverse reactions in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).The level of hypersensitive C-reactive protein in observation group was lower than that in control group,and the level of CD4+was higher than that in control group,the differences were statistically significant(both P<0.05).Conclusion Protective bronchoalveolar lavage can improve clinical efficacy,inflammatory factors and immune function in adult patients with severe pneumonia,and the inci-dence of adverse reactions is lower.

Protective bronchoalveolar lavageTreatment of severe adult pneumoniaApplication value

杨文宝

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山东省单县中心医院重症医学科,山东 菏泽 274300

保护性支气管肺泡灌洗 成人重症肺炎治疗 应用价值

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(21)