纤维支气管镜下注入依替米星治疗脑卒中后肺炎的疗效(1)
摘要：目的 觀察纤维支气管镜下注入依替米星治疗脑卒中后肺炎的临床疗效。方法 选取2015年8月～2019年8月在我院治疗的50例治疗脑卒中后肺炎患者为研究对象，采用随机数字表法分为对照组和观察组，各25例。对照组采用生理盐水支气管冲洗治疗，观察组在对照组基础上加注依替米星治疗，比较两组临床治疗总有效率、肺炎症状(咳痰、喘息、肺部啰音、咳嗽)缓解时间、血气指标[动脉血氧分压(PaO2)、动脉二氧化碳分压(PaCO2)、血氧饱和度(SaO2)]及住院时间。结果 观察组治疗总有效率为92.00%，高于对照组的84.00%，差异有统计学意义(P<0.05);观察组咳痰、喘息、肺部啰音、咳嗽缓解时间均短于对照组，差异有统计学意义(P<0.05);治疗后两组PaO2、SaO2均高于治疗前，PaCO2均低于治疗前，且观察组优于对照组，差异有统计学意义(P<0.05);观察组住院时间短于对照组，差异有统计学意义(P<0.05)。结论 纤维支气管镜下注入依替米星治疗脑卒中后肺炎效果确切，有助于改善患者血氧饱和度，缓解其临床症状，促进患者的快速康复，缩短住院时间，值得临床应用。
关键词：纤维支气管镜;依替米星;脑卒中;肺炎
中图分类号：R743.3;R563.1 文献标识码：A DOI：10.3969/j.issn.1006-1959.2020.15.046
文章编号：1006-1959(2020)15-0146-02
Abstract：Objective To observe the clinical effect of injecting etimicin under fiberoptic bronchoscope in the treatment of pneumonia after stroke. Methods A total of 50 patients with post-stroke pneumonia treated in our hospital from August 2015 to August 2019 were selected as the research objects， and they were divided into control group and observation group by random number table method， with 25 cases in each group. The control group was treated with normal saline bronchial irrigation， and the observation group was treated with etimicin on the basis of the control group. The total effective rate of clinical treatment and the relief time of pneumonia symptoms (sputum， wheezing， lung rales， cough) were compared between the two groups，blood gas indicators [arterial partial pressure of oxygen (PaO2)， arterial partial pressure of carbon dioxide (PaCO2)， blood oxygen saturation (SaO2)] and length of stay.Results The total effective rate of treatment in the observation group was 92.00%， which was higher than 84.00% in the control group，the difference was statistically significant (P<0.05); The remission time of sputum， wheezing， lung rales， and cough in the observation group was shorter than that in the control group，the difference was statistically significant (P<0.05); PaO2 and SaO2 in the two groups after treatment were higher than before treatment， and PaCO2 was lower than treatment before， and the observation group was better than the control group， the difference was statistically significant (P<0.05); the hospital stay in the observation group was shorter than the control group，the difference was statistically significant (P<0.05).Conclusion The effect of injecting etimicin under fiberoptic bronchoscope in the treatment of post-stroke pneumonia is definite， which is helpful to improve the patient's blood oxygen saturation， relieve their clinical symptoms， promote the patient's rapid recovery， and shorten the hospital stay. It is worthy of clinical application., 百拇医药(黄永辉 吕刚)
关键词：纤维支气管镜;依替米星;脑卒中;肺炎
中图分类号：R743.3;R563.1 文献标识码：A DOI：10.3969/j.issn.1006-1959.2020.15.046
文章编号：1006-1959(2020)15-0146-02
Abstract：Objective To observe the clinical effect of injecting etimicin under fiberoptic bronchoscope in the treatment of pneumonia after stroke. Methods A total of 50 patients with post-stroke pneumonia treated in our hospital from August 2015 to August 2019 were selected as the research objects， and they were divided into control group and observation group by random number table method， with 25 cases in each group. The control group was treated with normal saline bronchial irrigation， and the observation group was treated with etimicin on the basis of the control group. The total effective rate of clinical treatment and the relief time of pneumonia symptoms (sputum， wheezing， lung rales， cough) were compared between the two groups，blood gas indicators [arterial partial pressure of oxygen (PaO2)， arterial partial pressure of carbon dioxide (PaCO2)， blood oxygen saturation (SaO2)] and length of stay.Results The total effective rate of treatment in the observation group was 92.00%， which was higher than 84.00% in the control group，the difference was statistically significant (P<0.05); The remission time of sputum， wheezing， lung rales， and cough in the observation group was shorter than that in the control group，the difference was statistically significant (P<0.05); PaO2 and SaO2 in the two groups after treatment were higher than before treatment， and PaCO2 was lower than treatment before， and the observation group was better than the control group， the difference was statistically significant (P<0.05); the hospital stay in the observation group was shorter than the control group，the difference was statistically significant (P<0.05).Conclusion The effect of injecting etimicin under fiberoptic bronchoscope in the treatment of post-stroke pneumonia is definite， which is helpful to improve the patient's blood oxygen saturation， relieve their clinical symptoms， promote the patient's rapid recovery， and shorten the hospital stay. It is worthy of clinical application., 百拇医药(黄永辉 吕刚)