首页|纤维支气管镜吸痰、肺泡灌洗联合喜炎平注射液治疗重症肺炎并发呼吸衰竭的效果

纤维支气管镜吸痰、肺泡灌洗联合喜炎平注射液治疗重症肺炎并发呼吸衰竭的效果

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目的:探讨纤维支气管镜吸痰、肺泡灌洗联合喜炎平注射液治疗重症肺炎并发呼吸衰竭的效果.方法:选取2019 年 2 月—2022 年 10 月滨海县中医院收治的 106 例重症肺炎并发呼吸衰竭患者.根据随机数表法将其分为参照组和联合组,各 53 例.参照组给予纤维支气管镜吸痰、肺泡灌洗,联合组在参照组基础上给予喜炎平注射液治疗.比较两组治疗前后炎症因子、免疫指标及临床疗效.结果:治疗后,两组白细胞介素-2(IL-2)、肿瘤坏死因子-α(TNF-α)水平均降低,联合组TNF-α及IL-2 水平均低于参照组,差异有统计学意义(P<0.05).治疗后,两组免疫球蛋白A(IgA)、免疫球蛋白M(IgM)水平均升高,联合组IgA、IgM水平均高于参照组,差异有统计学意义(P<0.05).联合组总有效率明显高于参照组,差异有统计学意义(P<0.05).结论:纤维支气管镜吸痰、肺泡灌洗联合喜炎平注射液治疗重症肺炎并发呼吸衰竭患者的临床效果更显著,可有效调节患者免疫功能,促进患者恢复.
Effect of Fiber Bronchoscope Sputum Aspiration and Alveolar Lavage Combined with Xiyanping Injection in the Treatment of Severe Pneumonia Complicated with Respiratory Failure
Objective:To investigate the effect of fiber bronchoscope sputum aspiration and alveolar lavage combined with Xiyanping Injection in the treatment of severe pneumonia complicated with respiratory failure.Method:A total of 106 patients with severe pneumonia complicated with respiratory failure admitted to Binhai Hospital of Traditional Chinese Medicine from February 2019 to October 2022 were selected.According to the method of random number table,they were divided into reference group and combination group,with 53 cases in each group.Reference group was given fiber bronchoscope sputum aspiration and alveolar lavage,and combination group was given Xiyanping Injection treatment on the basis of reference group.The inflammatory factors,immune indexes before and after treatment and clinical efficacy of the two groups were compared.Result:After treatment,the levels of interleukin-2(IL-2)and tumor necrosis factor-α(TNF-α)in both groups were decreased,and the levels of TNF-α and IL-2 in combination group were lower than those in reference group,the differences were statistically significant(P<0.05).After treatment,the levels of immunoglobulin A(IgA)and immunoglobulin M(IgM)in the two groups were increased,and the levels of IgA and IgM in combination group were higher than those in reference group,the differences were statistically significant(P<0.05).The total effective rate of the combination group was significantly higher than that of the reference group,and the difference was statistically significant(P<0.05).Conclusion:Fiber bronchoscope sputum aspiration and alveolar lavage combined with Xiyanping Injection has more significant clinical effect in the treatment of patients with severe pneumonia complicated with respiratory failure,which can effectively regulate the immune function of patients and promote their recovery.

Xiyanping InjectionInflammatory factorSevere pneumoniaImmunoglobulinInterleukin-2

周志宇、张桂才

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滨海县中医院 江苏 滨海 224500

盐城市中医院

喜炎平注射液 炎症因子 重症肺炎 免疫球蛋白 白细胞介素-2

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(1)
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