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目的:分析经气管镜吸痰和灌洗治疗重症COPD临床效果。方法:将2013年4月-2014年11月期间收治于我院的重症COPD患者36例为研究对象,均采用经气管镜吸痰和灌洗治疗,观察治疗前、治疗后10分钟以及治疗后4h肺功能情况(第一秒用力呼气容积占预计值百分比),在治疗过程中同时观察血氧饱和度(Sa O2)变化情况。结果:治疗前10min FEV1.0%变化不明显,治疗4h后FEV1.0%从原来的0.43±0.15升为0.60±0.2,与治疗前和治疗10min有显著差异(P<0.05)。结论:在对重症COPD患者进行治疗的过程中,选择采用经气管镜吸痰和灌洗治疗能够改善患者状,起到较好的治疗效果,在临床中值得推广使用。
Objective: To analyze the clinical effect of tracheal suction and lavage in treatment of severe COPD. Methods: Thirty-six patients with severe COPD admitted to our hospital from April 2013 to November 2014 were enrolled in this study. All patients were treated with bronchoalveolar lavage and lavage. Before treatment, 10 minutes after treatment and after treatment 4h lung function (first second forced expiratory volume accounted for the expected percentage), during the treatment while observing changes in blood oxygen saturation (Sa O2). Results: FEV1.0% change was not obvious 10 minutes before treatment. After 4 hours of treatment, FEV1.0% increased from 0.43 ± 0.15 to 0.60 ± 0.2, which was significantly different from that before treatment and 10 minutes after treatment (P <0.05). Conclusion: In the treatment of patients with severe COPD during the treatment, the choice of tracheal suction and lavage treatment can improve the patient’s condition, played a good therapeutic effect, it is worth to promote the use of the clinic.