经纤维支气管镜吸痰治疗重症肺部感染的临床效果［摘要］目的观察经纤维支气管镜吸痰治疗重症肺部感染的临床效果。方法选取2012年5月〜2014年12月本院收治的80例重症肺部感染患者，将其随机分为常规吸痰组和纤支镜吸痰组，每组40例。常规吸痰组患者接受常规吸痰处理，纤支镜吸痰组患者接受经纤维支气管镜吸痰处理。比较两组患者的病死率、治疗效果、临床症状改善时间和住院时间。结果纤支镜吸痰组的病死率显著低于常规吸痰组，治疗总有效率显著高丁常规吸痰组，临床症状改善时间和住院时间显著短丁常规吸痰组，差界有统计学意义(P〈0・05)。结论经纤维支气管镜吸痰治疗重症肺部感染的临床疗效确切，有利于提高患者治疗效果，降低其病死率，促进临床症状的迅速消退和身体康复，缩短住院时间，避免加重感染，值得推广应用。［关键词］纤维支气管镜；吸痰；重症肺部感染［中图分类号］R563［文献标识码］A［文章编号］1674-4721(2015)09(b)-0039-03ClinicaleffectofbronchofiberscopicsputumaspirationintreatmentofseverepulmonaryinfectionFENGTang-songTheThirdPeoplezsHospitalofJingdezhenCityinJiangxiProvince,Jingdezhen333000,China[Abstract]ObjectiveToobservetheclinicaleffectofbronchofiberscopicsputumaspirationinthetreatmentofseverepulmonaryinfection.Methods80patientswithseverepulmonaryinfectionadmittedintoourhospitalfromMay2012andDecember2014wereseiectedanddividedintotheconventionalgroup且ndthebronchofiberscopicsputumaspirationgroupinrandom,40casesineachgroup.Theconventionalsputumaspirationgroupwasgivenconventionalsputumaspirationtreatment,thebronchofiberscopicsputumaspirationgroupwasgivenbronchofiberscopicsputumaspirationtreatment.Thecasefatalityrate,treatmenteffect,clinicalsymptomimprovementt.iineandhospitalstayintwogroupswerecompared.ResultsThecasefatalityrateinb_ronchofiberscopicsputumaspirationgroupwassignificantlylowerthanthatofconventionalsputumaspirationgroup,thetotaltreatmenteffectinbronchofiberscopicsputumaspirationgroupwassignific且ntlyhigherthanthatofconventionalsputumaspirationgroup,theclinicalsymptomimprovementtimeandhospitalstayinbronchofiberscopicsputumaspirationgroupwassignificantlyshorterthanthoseofconvenHonalsputumaspirationgroup,thedifferencesweresignificant（卩〈0.05）•ConelusionTnthetreatmentofseverepulmonaryinfection,bronchofiberscopicsputumaspirationshowsaccurateclinicalefficacyandisconducivetoimprovingtreatmenteffect,reducingcasefatalityrate,promotingfastrecessionofclinicalsymptomsandphysicalrehabilitation,shorteninglengthofhospitalstayandavoidingaggravatinginfection,isworthpopularizationandapplication.[Keywords]Bronchofiberscopy；Sputumaspiration；Severepulmonaryinfection重症肺部感染患者具有病情危重、进展迅速等特点，由于气道分泌物增加，而患者无法有效排痰，容易引起反复感染。肺部感染的发生不仅影响患者的治疗及预后恢复，还可能威胁其生命安全[1]。近年來，纤维支气管镜吸痰已经成为呼吸道病变治疗的重耍手段，而重症肺部感染最为关键的是痰液的清除和保持呼吸道通畅[2]o本研究观察经纤维支气管镜吸痰治疗重症肺部感染的临床效果。1资料与方法1.1一般资料选取2012年5月〜2014年12月本院收治的80例重症肺部感染患者,均符合如下诊断标准：患者出现呼吸急促、呼吸道脓性分泌物、体温三38.0°C的症状，肺部听诊时闻及干、湿??音；实验室检查结果提示白细胞计数^10X109/L；X线胸片检查结果提示肺部出现炎性病变口.认为发生肺部感染。将所有患者随机分为常规吸痰组和纤支镜吸痰组，每组40例。常规吸痰组男性24例，女性16例;年龄25〜78岁，平均(52.42±10.61)岁；体重49〜85kg,平均(64.62±11.13)kg；气管插管患者19例，气管切开患者21例；基础疾病包括重型颅脑损伤7例，脑出血10例，颅脑肿瘤3例，慢阻肺...