支气管肺泡灌洗治疗在小儿重症肺炎中应用.docVIP

支气管肺泡灌洗治疗在小儿重症肺炎中应用 　　[摘要] 目的 探讨经支气管镜行支气管肺泡灌洗术在小儿重症肺炎中的治疗效果，探讨支气管肺泡灌洗治疗重症肺炎的安全性。 方法 将2012年12月―2014年6月该院在PICU住院的56例重症肺炎患儿随机分为灌洗组和非灌洗组。非灌洗组采用常规抗感染、祛痰止咳、吸氧、呼吸支持等治疗，灌洗组在常规治疗的同时，给予经支气管镜行支气管肺泡灌洗治疗，将两组进行临床疗效、住院天数和呼吸机使用天数的对比。结果 灌洗组总有效率96.43%，非灌洗组总有效率71.43%，灌洗组疗效明显高于对照组（P0.01）；灌洗组和对照组平均住院天数分别是14.8 d和22.3 d，灌洗组住院天数比对照组明显缩短；灌洗组和对照组呼吸机使用天数分别是5.2 d和8.1 d，灌洗组呼吸机使用天数比对照组明显缩短。结论 重症肺部感染患者使用纤支镜肺泡灌洗能提高治疗效果，缩短住院时间及呼吸机使用时间，减少患者痛苦，值得推广。 　　[关键词] 支气管镜；支气管肺泡灌洗；小儿重症肺炎 　　[中图分类号] R725 [文献标识码] A [文章编号] 1674-0742（2015）01（a）-0049-03 　　Application of bronchoalveolar lavage in the treatment of childrens serious pneumonia 　　HUANG Huiping XIE Jiling DING Mincai 　　The women and children hospital of Qinzhou 　　[Abstract] Objective To observe the therapeutic effect of bronchoscopic bronchial alveolar lavage in treatment of childrens serious pneumonia. Methods 56 cases of severe pneumonia childrens in PICU from 2012 December to 2014 June were randomly divided into lavage group and control group， Each group consist of 28 patients.control group were under routine medical treatment（Anti infection， Respiratory support， Oxygen inhalation，etc） only，while lavage group both accepted routine medical treatment and bronchoalveolar lavage. To compare the clinical efficacy，hospitalization days，and the use of ventilator days of the two groups. Results The total effective rate in lavage group（96.43%）was higher than that of control group（89.29%）obviously；The average days of hospitalization in lavage group were 14.8 d，shorter than control group（22.3 d）. lavage group were 5.2 d，also shorter than control group（8.1d）. of hospital stay and ventilator days had There are significant difference in hospitalization days an the use of ventilator days between the two groups. Conclusion Bronchoalveolar lavage can enhance the therapeutic efficacy in the treatment of severe pulmonary infection，shorten the length of stay and the use of ventilator days，relieve the suffering，and is worth promotion. 　　[Key words] Bronchoscopy； Bro