临床医学工程2024，Vol.31Issue(9)：1031-1032,2.DOI:10.3969/j.issn.1674-4659.2024.09.1031
纤维支气管镜肺泡灌洗联合无创正压通气对慢阻肺急性加重期伴呼吸衰竭患者的治疗效果
Treatment Effect of Fiberoptic Bronchoscopy Alveolar Lavage Combined with Non-Invasive Positive Pressure Ventilation on Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease Complicated with Respiratory Failure
段亚娟 1张翠娟 2王国祥1
作者信息
- 1. 洛阳市东方人民医院呼吸与危重症医学科,河南洛阳 417000
- 2. 洛阳市东方人民医院急诊科,河南洛阳 417000
- 折叠
摘要
Abstract
Objective To explore the treatment effect of fiberoptic bronchoscopy alveolar lavage combined with non-invasive positive pressure ventilation(NIPPV)on patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD)complicated with respiratory failure(RF).Methods 80 patients with AECOPD complicated with RF were randomly divided into single group(40 cases)and combined group(40 cases).In addition to routine treatment,the single group was treated with NIPPV,and the combined group was treated with fiberoptic bronchoscopy alveolar lavage combined with NIPPV.The clinical efficacy,heart rate,respiratory rate and dyspnea degree(mMRC score)were compared between the two groups.Results The total effective rate of treatment in the combined group was 92.50％,higher than 72.50％in the single group(P＜0.05).After treatment,the heart rate,respiratory rate and mMRC score of the two groups decreased,and the heart rate,respiratory rate and mMRC score of the combined group were lower than those of the single group(P＜0.05).Conclusions Fiberoptic bronchoscopy alveolar lavage combined with NIPPV has significant effect in the treatment of patients with AECOPD complicated with RF,and can significantly improve the heart rate,respiratory rate and dyspnea degree.关键词
纤维支气管镜肺泡灌洗/无创正压通气/慢阻肺急性加重期/呼吸衰竭Key words
Fiberoptic bronchoscopy alveolar lavage/Non-invasive positive pressure ventilation/Acute exacerbation of chronic obstructive pulmonary disease/Respiratory failure分类
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段亚娟,张翠娟,王国祥..纤维支气管镜肺泡灌洗联合无创正压通气对慢阻肺急性加重期伴呼吸衰竭患者的治疗效果[J].临床医学工程,2024,31(9):1031-1032,2.
