首页|支气管肺泡灌洗辅助治疗重症肺炎合并呼吸衰竭的疗效及对炎性因子、肺功能的影响

支气管肺泡灌洗辅助治疗重症肺炎合并呼吸衰竭的疗效及对炎性因子、肺功能的影响

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目的 研究支气管肺泡灌洗辅助治疗重症肺炎合并呼吸衰竭的疗效及对炎症因子、肺功能的影响。方法 选取2017年1月—2023年1月本院收治的重症肺炎合并呼吸衰竭的300例患者为研究对象,并按照随机数字法分为两组,对照组(150例)应用常规治疗,观察组(150例)在对照组基础上加用支气管肺泡灌洗辅助治疗,比较两组治疗前后炎症因子的变化、肺功能的变化以及两组的临床效果。结果 治疗后C反应蛋白(CRP)、人白细胞介素-10(IL-10)和肿瘤坏死因子(TNF-a)水平明显降低,观察组低于对照组,两组间比较差异显著(P<0。05)。治疗后观察组FEV1和PEF明显升高,观察组高于对照组,两组间比较差异显著(P<0。05)。观察组临床疗效总有效率远高于对照组,两组间比较差异显著(P<0。05)。结论 对于重症肺炎并发呼吸衰竭的患者,应用支气管肺泡灌洗辅助治疗能有效缓解机体的炎症情况,从而促进病情转归。
Effect of Bronchoalveolar Lavage in the Adjuvant Treatment of Severe Pneumonia Complicated with Respiratory Failure and its Effect on Inflammatory Factors and Lung Function
Objective To study the therapeutic effect of bronchoalveolar lavage in the treatment of severe pneumonia complicated with respiratory failure and its effect on inflammatory factors and lung function.Methods 300 patients with severe pneumonia combined with respiratory failure admitted from January 2017 to January 2023 were divided into 2 groups by random number method,150 patients in the control group received conventional treatment,and 150 patients in the observation group received bronchoalveolar lavage on the basis of the control group.The changes of inflammatory factors,pulmonary function and the changes of the two groups before and after treatment were compared.Results The levels of C-reactive protein(CRP),human interleukin-10(IL-10)and tumor necrosis factor(TNF-a)were significantly decreased after treatment,and the observation group was lower than the control group,the difference between the two groups was significant(P<0.05);After treatment,FEV1 and PEF in the observation group were significantly increased,and the observation group was higher than the control group,and the difference between the two groups was significant(P<0.05).The total effective rate of clinical efficacy in the observation group was 88.67%,much higher than that in the control group 74.67%,and the difference between the two groups was significant(P<0.05).Conclusion For the patients with severe pneumonia complicated with respiratory failure,the application of bronchoalveolar lavage adjuvant therapy can effectively alleviate the inflammatory condition of the body,improve the impact of lung function on the body,enhance the therapeutic effect,and promote the outcome of the disease.

Severe pneumoniaRespiratory failureBronchoalveolar lavageInflammatory factorsLung function

曾志雄、李军、王盛龙

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广西柳州市中医医院 呼吸与危重症医学科二病区,广西 柳州 545001

重症肺炎 呼吸衰竭 支气管肺泡灌洗 炎症因子 肺功能

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(4)
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