摘要
目的:研究纤维支气管镜肺泡灌洗治疗对重症肺炎患者肺功能、炎症介质及睡眠质量的改善作用.方法:选取2022年5月至2023年6月福建省泉州市泉港区医院呼吸与危重症医学科重症肺炎住院患者68例作为研究对象进行回顾性分析,按照治疗方式不同分为对照组和观察组,每组34例.对照组选择常规治疗方案,观察组在对照组基础上应用纤维支气管镜进行肺泡灌洗治疗.比较2组患者疗效及血清炎症介质指标、肺功能指标、匹兹堡睡眠质量指数(PSQI)评分变化.结果:观察组总有效率高于对照组(P＜0.05).观察组治疗后血清炎症介质指标、PSQI评分低于对照组(P＜0.05),观察组第1秒用力呼气容积(FEV1)和FEV1/肺活量(FVC)高于对照组(P＜0.05).结论:重症肺炎患者应用纤维支气管镜进行肺泡灌洗处理,可更好地控制患者病情和炎症反应,改善肺功能及睡眠质量.
Abstract
Objective:To research and analysis on the improvement of lung function,inflammatory factors,and sleep quality after bronchoalveolar lavage treatment using fiberoptic bronchoscopy in patients with severe pneumonia.Methods:A retrospective anal-ysis was conducted on 68 hospitalized patients with severe pneumonia in the Respiratory and Critical Care Medicine Department of Quangang District Hospital,Quanzhou City,Fujian Province from May 2022 to June 2023.According to different treatment meth-ods,they were divided into a control group and a treatment group,with 34 cases in each group.The control group chose the con-ventional treatment plan,while the treatment group used fiberoptic bronchoscopy for alveolar lavage treatment on the basis of the control group.The total effective rate,serum inflammatory factor indicators,lung function indicators,and sleep quality scores were compared between the two groups.Results:When comparing the total effective rate between the two groups,the study group had a higher rate(P＜0.05).After treatment,compared with the control group,the serum inflammatory factors and sleep quality score in the study group were lower(P＜0.05),while FEV,and FEV1/FVC in the study group were higher(P＜0.05).Conclusion:Dur-ing the treatment of severe pneumonia,the use of fiberoptic bronchoscopy for alveolar lavage can better control the patient's condi-tion,improve their lung function and inflammatory response,and improve their sleep quality.
维普
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