Observation on the Clinical Effect of Fiber Bronchoscopy Combined with Airway Clearance in Mechanical Ventilation of Severe Pneumonia Patients
Objective To observe the clinical effect of fiber bronchoscopy combined with airway clearance in mechanical ventilation of severe pneumonia patients.Methods 80 cases of mechanical ventilation of severe pneumonia admitted to the Department of Intensive Care Medicine of our hospital from April 2021 to December 2022 were selected as the study objects,and were divided into control group(n=40)and treatment group(n=40)according to the principle of random double blindness.The control group was given routine treatment such as anti-infection and mechanical ventilation,and the treatment group was added with fiber branches on the basis of the treatment plan of the control group.The oxygenation index,pathogen detection rate,mechanical ventilation treatment time,effective rate and mortality of blood gas analysis before and after treatment were compared between the two groups combined with airway clearance bunding therapy.Results After treatment,the improvement of arterial oxygen partial pressure,oxygenation index and airway rise under peak pressure in the treatment group was better than that in the control group,the differences were significant(P<0.05);42 strains of pathogenic bacteria were detected in the treatment group and 28 strains were detected in the control group.The diagnosis time of etiology in the treatment group was shorter than that in the control group,the difference was significant(P<0.05).The mechanical ventilation treatment time of the treatment group was shorter than that of the control group(P<0.05),the cure rate of the treatment group was higher than that of the control group,and the mortality rate was lower than that of the control group,the difference was significant(P<0.05).Conclusion Bronchoscopy treatment can direct the airway condition,effectively remove airway secretions,improve the etiological detection rate,and thus optimize the anti-infection program according to the etiological results,and improve the cure rate;The bunching treatment can effectively improve the ventilation function of patients,reduce airway peak pressure,reduce atelectasis,and shorten the treatment time of mechanical ventilation.
Fiber bronchoscopyAirway clearance therapyMechanical ventilation for severe pneumoniaClinical effect
万方数据
维普
