纤维支气管镜肺泡灌洗术在大叶性肺炎患儿治疗中的效果观察

Observation on the Therapeutic Effect of Fiber Bronchoscopy Alveolar Lavage Surgery in the Treatment of Children with Lobar Pneumonia

目的探讨纤维支气管镜肺泡灌洗术在大叶性肺炎患儿治疗中的临床效果.方法选取2023年1月—2023年11月我院收治的80例大叶性肺炎患儿为研究对象,按随机数字表法将其分为对照组和观察组,各40例.对照组行常规治疗,观察组加用纤维支气管镜肺泡灌洗术治疗,两组均治疗2周.比较两组的临床疗效、临床恢复指标、血常规指标及不良反应发生情况.结果观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05).观察组退热时间、咳嗽消失时间、肺部啰音消失时间及住院时间分别为(3.37±0.35)d、(6.59±1.12)d、(8.33±1.19)d、(10.82±1.27)d,均短于对照组的(4.58±0.77)d、(8.35±1.25)d、(10.04±1.36)d、(12.75±1.43)d,组间差异有统计学意义(P<0.05).治疗后,观察组C反应蛋白、白细胞计数水平分别为(5.12±1.02)mg/L、(6.58±1.13)×109/L,均低于对照组的(6.57±1.15)mg/L、(8.75±1.16)×109/L,组间差异有统计学意义(P<0.05).两组不良反应发生率比较,差异无统计学意义(P>0.05).结论纤维支气管镜肺泡灌洗术治疗大叶性肺炎效果更佳,可加快炎症清除,促进疾病症状消失,且案例可靠.

Objective To explore the clinical effect of fiber bronchoscopy alveolar lavage surgery in the treatment of children with lobar pneumonia.Methods 80 children with lobar pneumonia admitted to our hospital from January 2023 to November 2023 were selected as the study objects and randomly divided into a control group and an observation group,each with 40 cases,using a random number table method.The control group received routine treatment,while the observation group received additional treatment with fiber bronchoscopy alveolar lavage surgery for two weeks.Compare the clinical efficacy,clinical recovery indicators,blood routine indicators,and adverse reactions between two groups.Results The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The observation group had fever reduction time,disappearance of cough time,disappearance of lung rales time,and hospital stay of(3.37±0.35)d,(6.59±1.12)d,(8.33±1.19)d,and(10.82±1.27)d,respectively,all of which were shorter than the control group's(4.58±0.77)d,(8.35±1.25)d,(10.04±1.36)d,and(12.75±1.43)d,with statistically significant differences between the groups(P<0.05).After treatment,the levels of C-reactive protein and white blood cell count in the observation group were(5.12±1.02)mg/L and(6.58±1.13)×109/L,respectively,which were lower than(6.57±1.15)mg/L and(8.75±1.16)×109/L in the control group,with statistically significant differences between the groups(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Fiber bronchoscopy alveolar lavage surgery is more effective in treating lobar pneumonia,can accelerate inflammation clearance,promote the disappearance of disease symptoms,and is safe and reliable.