Effect of Regular Sputum Aspiration Combined with Regular Sputum Aspiration under Fiberoptic Tracheoscope at Bed Side in the Treatment of Patients with Severe Pneumonia with Mechanical Ventilation
Objective:To explore the effect of regular sputum aspiration combined with regular sputum aspiration under fiberoptic tracheoscope at bed side in the treatment of patients with severe pneumonia with mechanical ventilation.Method:A total of 82 patients with severe pneumonia treated with mechanical ventilation in Sinan County People's Hospital from June 2020 to June 2022 were selected.They were divided into control group and observation group according to random number table method,with 41 cases in each group.The control group was given regular sputum aspiration,and the observation group was given regular sputum aspiration under fiberoptic bronchoscope at bed side.The clinical efficacy after treatment,blood gas analysis indexes,related indexes before treatment and after 2 weeks of treatment and recovery condition of the two groups were compared.Result:The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After 2 weeks of treatment,the blood oxygen partial pressure(PaO2)of the observation group was higher than that of the control group,and the carbon dioxide partial pressure(PaCO2)was lower than that of the control group,the differences were statistically significant(P<0.05).After 2 weeks of treatment,the oxygen concentration(FiO2)and positive end expiratory pressure(PEEP)of the observation group were lower than those of the control group,and the oxygenation index(PaO2/FiO2)was higher than that of the control group,the differences were statistically significant(P<0.05).The antibacterial application time,pulmonary inflammation absorption time,mechanical ventilation time and hospital stay in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:Regular sputum aspiration under fiberoptic bronchoscope at the bed side combined with routine sputum aspiration can improve the curative effect of mechanical ventilation in patients with severe pneumonia,correct abnormal blood gas analysis indexes,promote the absorption of lung inflammation,shorten the application of antibiotics and the length of hospital stay.
Severe pneumoniaSputum aspirationRegular sputum aspiration under fiberoptic bronchoscope at the bed sideBlood gas analysis
万方数据
维普
