纖支鏡吸痰聯合俯臥位通氣治療重癥吸入性肺炎的效果觀察

何林

摘 要：目的 研究應用纖支鏡吸痰聯合俯臥位通氣治療重癥吸入性肺炎的效果。方法 選取2014年4月～2017年5月入院的76例重癥吸入性肺炎患者作為研究對象，隨機分為對照組和研究組，各38例。兩組患者均給予俯臥位通氣治療，對照組在此基礎上采用常規吸痰治療，研究組在俯臥位通氣基礎上加用纖支鏡吸痰。比較兩組患者治療前后體溫、白細胞計數、呼吸頻率及心率變化情況。結果 治療前，兩組患者體溫、白細胞計數、呼吸頻率、心率比較，差異無統計學意義（P>0.05）；治療后，研究組患者體溫[（36.47±0.49）℃vs（37.65±0.73）℃]、白細胞計數[（7.37±0.81）×109/L vs（12.64±1.36）×109/L]、呼吸頻率[（16.28±1.45）次/min vs（19.42±2.04）次/min]、心率[（79.93±7.96）次/min vs（100.16±8.87）次/min]均優于對照組，差異有統計學意義（P<0.05）。結論 纖支鏡吸痰聯合俯臥位通氣治療重癥吸入性肺炎，可維持患者呼吸、心率、體溫及白細胞穩定，促進其快速康復。

關鍵詞：重癥吸入性肺炎；纖支鏡吸痰；俯臥位通氣

中圖分類號：R563.1 文獻標識碼：A DOI：10.3969/j.issn.1006-1959.2018.15.032

文章編號：1006-1959（2018）15-0103-03

Observation on the Effect of Fibrobronchoscope Suction Combined with Prone Position Ventilation in the Treatment of Severe Aspiration Pneumonia

HE Lin

（Department of Critical Care Medicine，People's Hospital of Ganzhou City，Ganzhou 341000，Jiangxi，China）

Abstract：Objective To study the effect of fibrobronchoscope suction combined with prone position ventilation in the treatment of severe aspiration pneumonia.Methods 76 patients with severe aspiration pneumonia who were admitted to hospital from April 2014 to May 2017 were randomly divided into the control group and the study group，38 cases each.Both groups of patients were treated with prone position ventilation.On the basis of this，the control group was treated with conventional suction，and the study group was treated with a fibrobronchoscope suction on the basis of prone position ventilation.The changes of body temperature，white blood cell count， respiratory rate and heart rate before and after treatment were compared between the two groups.Results Before treatment，there was no significant difference in body temperature，white blood cell count，respiratory rate and heart rate between the two groups（P>0.05）.After treatment，the body temperature of the study group[（36.47±0.49）°Cvs（37.65±0.73）°C]，white blood cell count[（7.37±0.81）×109/L vs（12.64±1.36）×109/L]，respiratory rate[（16.28±1.45）times/min vs（19.42±2.04）times/min]，heart rate[（79.93±7.96）times/min vs（100.16±8.87）times/min were superior to the control group，and the difference was statistically significant（P<0.05）.Conclusion Fibrobronchoscope suction combined with prone position ventilation for severe aspiration pneumonia can maintain the patient's breathing， heart rate，body temperature and white blood cell stability，and promote their rapid recovery.

Key words：Severe aspiration pneumonia；Fibrobronchoscope suction；Prone position ventilation