Clinical Application of Fiberoptic Bronchoscopy in Treatment of Ventilator Associated Pneumonia

Wang Zhi Ying

Volume 37 Issue 06

Turn off MathJax

Article Contents

Abstract

References

Relative Articles

Article Navigation > Journal of Kunming Medical University > 2016 > 37(06):

Zhang Sheng . Research Progress in the Laboratory Testing of Common in Hand，Foot and Mouth Disease[J]. Journal of Kunming Medical University, 2016, 37(01).

Citation:

Wang Zhi Ying . Clinical Application of Fiberoptic Bronchoscopy in Treatment of Ventilator Associated Pneumonia[J]. Journal of Kunming Medical University, 2016, 37(06).

Zhang Sheng . Research Progress in the Laboratory Testing of Common in Hand，Foot and Mouth Disease[J]. Journal of Kunming Medical University, 2016, 37(01).

Citation:

Wang Zhi Ying . Clinical Application of Fiberoptic Bronchoscopy in Treatment of Ventilator Associated Pneumonia[J]. Journal of Kunming Medical University, 2016, 37(06).

PDF( 184 KB)

Clinical Application of Fiberoptic Bronchoscopy in Treatment of Ventilator Associated Pneumonia

Wang Zhi Ying

(Intensive Care Unit of The Third People’s Hospital of Yunnan Province,Kunming Yunnan 650011,China)

Abstract

Abstract

［Abstract］Objective To study the value of fiberoptic bronchoscopy in treatment of ventilator associated pneumonia. Methods The 168 cases of ventilator associated pneumonia in ICU were randomly divided into treatment group and control group， each group of 84 cases， were given oxygen， anti-inflammatory， expectorant treatment. Treatment group was given fiber bronchoscope sputum suction and irrigation， control group was given sputum suction tube， then we observed the oxygenation changes after sputum suction of two groups of patients， compared clinical efficacy， sputum culture positive rate， antibiotic using time and staying time in the ICU between two groups of patients. Results Compared with control group， in treatment group SaO2， PaO2 and oxygen index were significantly improved （P < 0.05）; in treatment group CRP，PCT and IL-6 were significantly improved （P < 0.05）. In the treatment group， the total effectiveness is significantly higher than the control group; antibiotic using time and staying time of ICU were obviously shorter than the control group （P < 0.05）. Conclusion Fiberoptic bronchoscopy irrigation treatment can improve oxygenation， antibiotic using time and staying time in ICU of ventilator associated pneumonia patients， and is worthy of clinical application.
- ［Key words］Fiberoptic bronchoscopy；Alveolar lavage；Ventilator associated pneumonia,

FullText(HTML)

References(0)

References

Relative Articles(20)

Relative Articles

[1]	Yao HOU, Nan KONG, Yuqin WU, Lin WANG, Ting WANG. Effects and Efficacy Evaluation of Modified Prone Ventilation Combined with Bronchoscopic Alveolar Lavage on Respiratory Mechanics and Hemodynamics in Children with ARDS. Journal of Kunming Medical University, 2025, 46(1): 117-122. doi: 10.12259/j.issn.2095-610X.S20250117
[2]	Dongping ZHU, Haifeng LI, Junfei FENG, Qiuheng TANG, Jing LENG. Value of SHOX2 and RASSF1A Gene Methylation in Alveolar Lavage Fluid in Patients with Pulmonary Nodules or Masses in the Diagnosis of Lung Cancer. Journal of Kunming Medical University, 2024, 45(3): 106-111. doi: 10.12259/j.issn.2095-610X.S20240316
[3]	Yang ZENG, Qian WANG, Maoliang TIAN. The Effect of Bronchoalveolar Lavage Combined with Low Molecular Weight Heparin on Patients with Severe Pneumonia. Journal of Kunming Medical University, 2024, 45(5): 151-156. doi: 10.12259/j.issn.2095-610X.S20240523
[4]	Liming GONG, Jianghua RAN, Yinjia WANG, Zhiwei LI, Qian YANG, Qing WANG, Dongkun WANG, Zhengneng TANG. The Effects of Bronchoalveolar Lavage Combined with Microbiological Rapid on-site Evaluation in the Maintenance of Potential Donor Lung. Journal of Kunming Medical University, 2024, 45(1): 107-115. doi: 10.12259/j.issn.2095-610X.S20240118
[5]	Lingming GONG, Li LI, Jianghua RAN, Lan LI, Shengning ZHANG, Chao LI, Yinjia WANG, Dongkun WANG, Li ZHENG, Guofeng ZHANG. The Effect of Bronchoscopic Alveolar Lavage on the Maintenance of Borderline Donor Lung in Brain Death. Journal of Kunming Medical University, 2022, 43(1): 89-95. doi: 10.12259/j.issn.2095-610X.S20220107
[6]	Le ZHANG, Yuanqiang HE, Jiawei XIA, Shu LIU, Bin BAI, Xing LIU. Effect of Early Interventional Therapy with Bronchoscopic Alveolar Lavage on AIDS Patients Complicated with Severe Pneumonia. Journal of Kunming Medical University, 2022, 43(11): 151-155. doi: 10.12259/j.issn.2095-610X.S20221120
[7]	Ze-xi LIN, Li-qing LIN, Jian-ren WANG, Tao XIE, Xi-an FU, Jun PU. Effects of Probiotics Enteral Nutrition on Ventilator Associated Pneumonia in Patients with Severe Brain Injury. Journal of Kunming Medical University, 2021, 42(12): 17-22. doi: 10.12259/j.issn.2095-610X.S20211213
[8]	Ying ZHANG, Xiao-qun NIU. The Diagnostic Efficacy of Alveolar Lavage Fluid G test and GM Test in AECOPD Complicated with Invasive Pulmonary Fungal Infection. Journal of Kunming Medical University, 2020, 41(12): 55-59. doi: 10.12259/j.issn.2095-610X.S20201217
[9]	Yang Tian Wen , Zeng Xiao Yi , Liu Shu , Huang Qing , Li Mei Hua . . Journal of Kunming Medical University, 2019, 40(12): 92-96.
[10]	Shi Ai Yun, Wang Ya Ling , Bai Jing Song , Xia Jia Wei , Liu Li , Qian Li Yun . . Journal of Kunming Medical University, 2019, 40(11): 161-164.
[11]	Liu Ning . The Clinical Value of T Lymphocyte Subsets Analysis with Flow Cytometry in Bronchoalveolar Lavage Fluid of Patients with Pulmonary Tuberculosis. Journal of Kunming Medical University,
[12]	Tan Li . Levels of Interleukin-4，Interleukin-6 and Interferon-gamma in Bronchoalveolar Lavaga Fluid of Children with Refractory Mycoplasma Pneumoniae Pneumonia and the Features of Bronchoscopy. Journal of Kunming Medical University,
[13]	Zhou Gui . A Multivariate Analysis on the Time of Using Antibiotics for Treating the Ventilator-associated Bacterial Pneumonia. Journal of Kunming Medical University,
[14]	Zhang Ji Hua . . Journal of Kunming Medical University,
[15]	Bi Hong . . Journal of Kunming Medical University,
[16]	Liu Yi . . Journal of Kunming Medical University,
[17]	Xie Zuo Zhou . . Journal of Kunming Medical University,
[18]	Ren Ai Hong . . Journal of Kunming Medical University,
[19]	. . Journal of Kunming Medical University,
[20]	Yang Ji Ying . . Journal of Kunming Medical University,

Supplements(0)

Cited By

Cited by

Periodical cited type(6)

1.	刘蕾. 不同呼气末正压通气对危重症手足口病患儿血气指标及治疗时间的影响. 社区医学杂志. 2018(09): 53-54 .
2.	刘雪莲，马红梅，张宏江. 珠海市0～6岁儿童手足口病调查分析. 中国医刊. 2018(06): 632-636 .
3.	王杨，李祎，彭传梅，张胜，陈婉婷，卫波，高辉. 临床手足口病肠道病毒71型VP1基因分析. 中国实验诊断学. 2018(05): 811-814 .
4.	廖素雯. 重症手足口病的诊疗进展. 医学理论与实践. 2017(06): 813-814 .
5.	刘微，罗晓华，赵文静，侯婷，韩亚如，谢文静. 应用实时荧光定量PCR检测多亚型EV71的研究. 中国病原生物学杂志. 2017(10): 983-986 .
6.	吴振霞，毕丽军. 2011—2015年常州市钟楼区14岁以下儿童手足口病流行特征分析. 中国校医. 2016(10): 754-755 .