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纤维支气管镜在 ICU 老年危重症治疗及气道管理中的应用价值

董文辉 李德强 邱士鹏 闫春良

河北医学2015,Vol.21Issue(9):1483-1485,3.
河北医学2015,Vol.21Issue(9):1483-1485,3.DOI:10.3969/j.issn.1006-6233.2015.09.024

纤维支气管镜在 ICU 老年危重症治疗及气道管理中的应用价值

The Value of Fiberoptic Bronchoscope in Intensive Care and Airway Management of Elderly Patients in ICU

董文辉 1李德强 1邱士鹏 1闫春良1

作者信息

  • 1. 北京航天总医院ICU,北京 丰台区,100076
  • 折叠

摘要

Abstract

Objective:To investigate and analyze the application value of fiberoptic bronchoscopy in in-tensive care and airway management of elderly patients in ICU.Method:Randomly divided 88 critically ill patients into two groups by table of random number method, the control group used conventional artificial air-way management, experimental group used fiberoptic bronchoscope in the management of artificial airway on the basis of control group, observed and compared clinical effect of two groups.Result:After treatment, the total effective rate of the experimental group ( 93.18%) was significantly higher than in the control group ( 68.18%) , The temperature, no rale in pulmonary, white blood cell levels returned to normal and pulmona-ry lesions absorption of good proportion (95.45%, 88.64%, 90.91%, 86.36%) in experimental group were significantly higher than those of the control group ( 68.18%, 61.36%, 59.09%, 59.09%) , There's statisti-cally significant (P <0.05).The incidence of airway humidity not enough (9.09%) in experimental group was lower than that of control group (56.82%), There's statistically significant (P <0.05).Conclusion:Fiberoptic bronchoscopy has extremely high application value in management and treatment of critically ill airway ,it can accurately remove respiratory secretions, maintain airway smoothly, it should be widely ap-plied in clinic for the safety and good effect.

关键词

纤维支气管镜/危重症/气道管理

Key words

Fiberoptic bronchoscopy/Critical illness/Airway management

引用本文复制引用

董文辉,李德强,邱士鹏,闫春良..纤维支气管镜在 ICU 老年危重症治疗及气道管理中的应用价值[J].河北医学,2015,21(9):1483-1485,3.

河北医学

OACSTPCD

1006-6233

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