Efficacy Analysis of Bi-level Positive Airway Pressure Ventilation Com-bined with Fibrinoscopic Alveolar Lavage in the Treatment of Severe Pneu-monia with Respiratory Failure
Objective To investigate the therapeutic effect of bi-level positive airway pressure ventilation combined with fibrinoscopic alveolar lavage treatment on patients with severe pneumonia with respiratory failure.Methods The clinical data of 60 patients with severe pneumonia with respiratory failure treated in Taizhou Jiangyan Hospital of Tra-ditional Chinese Medicine between January 2019 and June 2023 were retrospectively analyzed,and were divided into two groups according to the differenct treatment plan.The control group(30 cases)was treated with fibrinoscopic al-veolar lavage + conventional ventilation,and the observation group(30 cases)was treated with bi-level positive airway pressure ventilation + fibrinoscopic alveolar lavage.Inflammatory indexes before and after treatment and complica-tions were compared between two groups.Results The inflammatory indexes of the observation group and the control group after treatment were lower than those before treatment,and the difference was statistically significant(P<0.05).The incidence of complication in the observation group was 6.67%,33.33%lower than in the control group,and the difference was statistically significant.(χ2=6.667,P=0.010).Conclusion Bi-level positive airway pressure ventilation and fibrinoscopic alveolar lavage treatment method can effectively improve the degree of inflammation and reduce the incidence of complications in patients with severe pneumonia with respiratory failure.