心臟外科術(shù)后下呼吸道感染患者采用密閉式吸痰聯(lián)合纖維支氣管鏡的應(yīng)用效果分析
[Abstract]:Objective to investigate the effect of closed suction combined with fiberoptic bronchoscopy in patients with lower respiratory tract infection after cardiac surgery. Methods the clinical data of 113 patients with lower respiratory tract infection after cardiac surgery from January 2013 to June 2016 were retrospectively analyzed and divided into combined group and control group according to the method of sputum aspiration. The combined group was treated with closed suction combined with fiberoptic bronchoscopy, while the control group was only treated with closed suction. The clinical efficacy of the two groups was compared. Results after 48 hours of treatment, the heart rate, respiration and PaO2,PaO2/FiO2 levels in the combined group were significantly improved compared with those before treatment (P0.05), the heart rate, respiration and PaO2,PaO2/FiO2 in the combined group were significantly lower than those in the control group after 48 hours of treatment, and PaO2,PaO2/FiO2 was significantly higher in the combined group than in the control group. The difference was statistically significant (P0.05); the improvement of heart rate, respiration and PaO2,PaO2/FiO2 in the combined group was significantly better than that in the control group (P0.05); the time of cough and sputum disappearance, body temperature and white blood cell return to normal were significantly earlier in the combined group than in the control group (P0.05). The difference was statistically significant (P0.05); after 48 hours of treatment, the PIP,Cdyn,WOBvent,RAW of the two groups were significantly lower than before treatment, the difference was statistically significant (P0.05); after 48 hours of treatment, the PIP,Cdyn,WOBvent,RAW of the combined group was significantly lower than that of the control group, the difference was statistically significant (P0.05). Conclusion closed suction combined with fiberoptic bronchoscopy is effective for lower respiratory tract infection after cardiac surgery.
【作者單位】： 南陽市中心醫(yī)院心臟大血管外科;
【分類號】：R654.2;R56
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