支气管镜术在儿童难治性肺炎支原体肺炎诊治中应用效果探讨.docVIP

支气管镜术在儿童难治性肺炎支原体肺炎诊治中应用效果探讨 　　[摘要] 目的 探讨分析支气管镜术在儿童难治性肺炎支原体肺炎诊治中的应用效果。方法 方便选取2015年5月―2017年6月间吉林油田总医院收治的88例小儿难治性肺炎支原体肺炎患儿，进行分组治疗，分为两组，对照组采取常规治疗，观察组则采用支气管镜进行灌洗治疗，各44例。观察两组治疗总有效率和临床症状消失时间。 结果 观察组治疗总有效率为95.5%，较之对照组的81.8%更高（P0.05）。观察组肺部??音吸收时间为（10.3±1.2）d，对照组为（15.5±1.7）d，（t=16.576，P0.05）、观察组咳嗽症状消失时间为（8.4±1.4）d，对照组为（12.3±1.8）d（t=11.345，P0.05）、观察组发热症状消失时间为（7.5±1.1）d，对照组为（8.1±1.6）d（t=2.050，P0.05）。结论 对儿童难治性肺炎支原体肺炎采用支气管镜进行肺泡灌洗?g治疗可有效提高该病症的治疗效果，帮助患儿尽快恢复健康。 　　[关键词] 支气管镜；难治性肺炎支原体肺炎；临床效果 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2018）03（a）-0097-03 　　Application of Bronchoscopy in the Diagnosis and Treatment of Children with Refractory Mycoplasma Pneumoniae Pneumonia 　　BAI Peng1， GAO Yue2 　　1.Department of Pediatrics， Jilin Oilfield General Hospital， Songyuan， Jilin Province， 138000 China； 2.Department of Respiratory Medicine， Changchun Children’s Hospital， Changchun， Jilin Province， 130000 China 　　[Abstract] Objective This paper tries to investigate the application of bronchoscopy in the diagnosis and treatment of children with refractory Mycoplasma pneumoniae mycoplasma pneumonia. Methods Convenient selection from May 2015 to June 2017， 88 children with refractory mycoplasma pneumoniae pneumonia admitted to Jilin Oilfield General Hospital were divided into two groups. The control group received routine treatment， and the observation group was treated with bronchoscopy lavage treatment， each groups had 44 cases. The total effective rate of treatment and the disappearance of clinical symptoms were observed. Results The total effective rate of treatment in the observation group was 95.5%， which was higher than that of the control group （P0.05）， which was higher than that of the control group （81.8%）. The observation group was pulmonary rales absorption time（10.3±1.2）d， the control group （15.5±1.7）d， （t=16.576， P0.05）， the observation group cough symptoms disappeared time was （8.4±1.4）d， the control group （12.3±1.8）d （t=11.345， P0.05）， the observation group fever symptoms disap