Analysis of the Curative Effect of Local Injection Combined with Bron-choalveolar Lavage in the Treatment of Senile Bronchiectasis Complicated with Infection
Objective To investigate the efficacy of local injection combined with bronchoalveolar lavage in the treat-ment of bronchiectasis complicated with infection in the elderly.Methods The clinical data of 80 elderly patients with bronchiectasis complicated with infection admitted to Longyan People Hospital from January 2021 to January 2023 were retrospectively selected.According to different treatment methods,they were divided into combined treatment group and lavage treatment group,40 cases in each group.The combined treatment group was treated with local injec-tion combined with bronchoalveolar lavage on the basis of conventional treatment,and the lavage treatment group was treated with bronchoalveolar lavage on the basis of conventional treatment.The lung function,sputum traits,blood gas indexes,inflammatory indexes,clinical efficacy,adverse reactions and recovery were compared between the two groups.Results The lung function of the combined treatment group was higher than that of the lavage treatment group,and the difference was statistically significant(P<0.05).The scores of mucus density,purulent mucus and mucus vol-ume in the combined treatment group were lower than those in the lavage treatment group,and the differences were statistically significant(all P<0.05).The blood gas indexes and inflammatory indexes of the combined treatment group were better than those of the lavage treatment group,and the differences were statistically significant(both P<0.05).The total effective rate of the combined treatment group was 92.50%(37/40),which was higher than 75.00%(30/40)of the lavage treatment group,and the difference was statistically significant(χ2=4.501,P<0.05).There was no signifi-cant difference in the incidence of adverse reactions between the two groups[12.50%(5/40)vs 10.00%(4/40)](χ2=0.000,P>0.05).The antipyretic time,intravenous antibiotic application time,hospitalization time and disappearance time of cough and sputum in the combined treatment group were shorter than those in the lavage treatment group,and the differences were statistically significant(all P<0.05).Conclusion The combination of local injection and bronchoal-veolar lavage in elderly patients with bronchiectasis and infection can improve the effective rate of treatment,improve blood gas index and inflammatory response.
ElderlyBronchiectasiaInfectionLocal injection of medicationBronchoalveolar lavageLung functionAdverse reactions
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