纤维支气管镜吸痰与肺泡灌洗联用对肺癌术后肺部感染患者炎性因子及呼吸功能的影响
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湖北省卫生健康委员会医学科研项目(WJ2019H567)


Effect of combined use of bronchofiberoscope and alveolar lavage on inflammatory factors and respiratory function in patients with lung infection after lung cancer surgery
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    摘要:

    【摘要】目的 探讨纤维支气管镜吸痰与肺泡灌洗联用对肺癌术后肺部感染患者炎性因子及呼吸功能的影响。方法 选取2017年6月~2020年1月我院收治的肺癌术后肺部感染患者194例,按随机数字表法将患者分为观察组和对照组,每组患者各97例。对照组患者给予常规治疗方式,观察组患者在常规治疗基础上实施纤维支气管镜吸痰与肺泡灌洗联用治疗。比较两组患者临床治疗效果及患者炎性因子及呼吸功能。结果 观察组临床治疗总有效率高于对照组(P<005)。在临床症状指标方面,观察组肺啰音消失时间、体温恢复正常时间及咳嗽消失时间均较对照组缩短(P<005)。在动脉血气指标方面,两组治疗后3、7 d PaO2、SpO2 均明显升高,PaCO2均下降(P<005);与对照组比较,观察组上述指标改善显著,差异具有统计学意义(P<005)。在炎性因子水平方面,两组治疗后3、7 d超敏C反应蛋白(hsCRP)、IL8和TNFɑ水平均较治疗前明显降低,且观察组降低程度高于对照组,差异有统计学意义(P<005)。在呼吸功能指标方面,两组治疗后3、7 d气道阻力、气道峰压及呼吸做功均较对照组明显降低,且观察组降低程度高于对照组,差异有统计学意义(P<005)。结论 采用纤维支气管镜吸痰与肺泡灌洗联用方式对肺癌术后肺部感染患者进行治疗,能使患者炎性反应有效减轻,呼吸功能明显提高,临床疗效显著。

    Abstract:

    【Abstract】Objective To explore the effect of combined use of fiberoptic bronchoscope suction and alveolar lavage on inflammatory factors and respiratory function in patients with lung infection after lung cancer surgery. Methods A total of 194 postoperative lung infection patients with lung cancer admitted to the hospital from June 2017 to June 2019 were selected, and the patients were divided into observation group (n=97) and control group (n=97), according to the random number table method. Patients in the control group were given conventional treatment, and patients in the observation group were given combined treatment of sputum aspiration with fiberoptic bronchoscope and alveolar lavage on the basis of conventional treatment. The effects of clinical treatment on inflammatory factors and respiratory function of patients in the two groups were analyzed and compared. Results In terms of the total effective rate of clinical treatment, 9381% of the observation group was significantly higher than 7216% of the control group, and the difference was significant (P<005). In terms of arterial blood gas indicators, PaO2 and SpO2 were significantly increased at 3d and 7d after treatment in the two groups, and PaCO2 was decreased. The difference was statistically significant (P<005). Compared with the control group, the above indicators of the observation group improved significantly. It was statistically significant (P<005). In terms of inflammatory factor levels, the levels of highsensitivity Creactive protein (hsCRP), IL8 and TNFɑ at 3 and 7 days after treatment in the two groups were significantly lower than before treatment. Moreover, the degree of reduction in the observation group was higher than that in the control group, and the difference was statistically significant (P<005). In terms of respiratory function indicators, the airway resistance, peak airway pressure and work of breathing of the two groups were higher than those of the control group at 3 and 7 days after treatment. Significantly decreased, and the degree of decrease in the observation group was higher than that in the control group, the difference was statistically significant (P<005). Conclusion The combined use of fiberoptic bronchoscope suction and alveolar lavage to treat patients with lung infection after lung cancer surgery can achieve significant clinical effects, effectively reduce the patient's inflammatory response, and significantly improve the respiratory function.

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  • 在线发布日期: 2021-08-16
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