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目的探讨分析经纤维支气管镜肺泡灌洗用于急性肺脓肿的临床疗效。方法 74例急性肺脓肿患者随机分为治疗组与对照组,各37例。对照组采用常规疗法,治疗组在对照组治疗的基础上应用经纤维支气管镜肺泡灌洗,比较两组疗效。结果治疗组总有效率为91.89%,高于对照组的72.97%(P<0.05);治疗组的住院时间、体温恢复时间以及咳痰、咳嗽缓和时间均明显少于对照组(P<0.05);治疗组的第1秒用力呼气容积(FEV1)、氧分压(Pa O2)均明显高于对照组(P<0.05)。结论经纤维支气管镜肺泡灌洗用于急性肺脓肿的临床疗效显著,值得推广应用。
Objective To investigate the clinical effects of bronchoalveolar lavage for acute lung abscess. Methods 74 patients with acute lung abscess were randomly divided into treatment group and control group, 37 cases in each group. The control group with conventional therapy, the treatment group in the control group based on the application of bronchoscopic bronchoalveolar lavage, the efficacy of the two groups were compared. Results The total effective rate in the treatment group was 91.89%, which was higher than that in the control group (72.97%, P <0.05). The hospitalization time, body temperature recovery time, sputum and cough alleviating time in the treatment group were significantly less than those in the control group (P <0.05) ; FEV1 and Pa O2 in the treatment group were significantly higher than those in the control group (P <0.05). Conclusion Bronchoscopical bronchoalveolar lavage for acute lung abscess clinical efficacy is significant, it is worth promoting the application.