目的评价支气管镜吸痰联合肺泡灌洗治疗慢性阻塞性肺疾病急性加重期(AECOPD)患者的临床疗效。方法将100例确诊为AECOPD的患者,随机分为治疗组(50例)和对照组(50例)。两组患者的常规治疗方案相同,治疗组配合使用支气管镜吸痰及肺泡灌洗治疗。比较两组患者治疗后的临床疗效、住院时间及动脉血气分析指标改变情况。结果治疗组与对照组的临床总有效率分别为88.00%、72.00%(P<0.05);治疗组住院时间较对照组短(P<0.05);治疗后,两组患者PaO2、PaCO2、SaO2均较治疗前改善(P<0.05),且治疗组较对照组动脉血气分析指标改善更明显(P<0.05)。结论支气管镜吸痰联合肺泡灌洗可以有效改善AECOPD患者的病情,缩短患者的住院时间。
ObjectiveTo evaluate the clinical efficacy of bronchoscopic sputum aspiration combined with bronchoalveolar lavage for treating patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD). MethodsA total of 100 patients diagnosed with AECOPD were randomly divided into treatment group (50 cases) and control group (50 cases). The two groups received the same routine therapeutic regimens; meanwhile, the treatment group underwent combined treatment of bronchoscopic sputum aspiration and bronchoalveolar lavage. Clinical efficacy, hospitalization time, and changes in arterial blood gas analysis indicators were compared between the two groups after treatment. ResultsThe total clinically effective rates of the treatment group and the control group were 88.00% and 72.00%, respectively (P<0.05); the hospitalization time of the treatment group was shorter than that of the control group (P<0.05). After treatment, PaO2, PaCO2 and SaO2 were improved in both groups in comparison with those before treatment (P<0.05), and the treatment group got more significant improvements in arterial blood gas analysis indicators than the control group (P<0.05). ConclusionBronchoscopic sputum aspiration combined with bronchoalveolar lavage can effectively improve the condition of patients with AECOPD and shorten their hospitalization time.