纤维支气管镜治疗小儿大叶性肺炎的疗效观察

Fiberoptic Bronchoscopy in Treatment of Infantile Lobar Pneumonia Curative Effect Observation

目的:观察纤维支气管镜治疗小儿大叶性肺炎的临床疗效。方法:2011年4月-2012年2月本科共收治小儿大叶性肺炎患者86例,将患者随机分为两组。对照组43例,给予常规的全身抗生素、对症等治疗;观察组43例,在对照组的基础上给予纤维支气管镜灌洗(BAL)治疗。比较两组患者的临床疗效。结果:观察组和对照组的总有效率分别为95.35%和86.04%,两组比较差异无统计学意义(P>O.05);观察组患者的平均咳嗽持续时间,退热时间,肺部体征消失时间,肺部影像学阴影吸收时间,分别为(7.1±1.9)d、(5.2±2.1)d、(10.2±1.8)d和(11.3±2.2)d,各项指标明显优于对照组,差异有统计学意义(P<0.05)。结论:纤维支气管镜治疗小儿大叶性肺炎具有显著的临床疗效,适合临床上推广应用。

Objectives：To observate clinical efficacy of Bonchoscopy of treatment with lobar pneumonia in infants.Method：Since April 2011 to February 2012,our department has treated 86 cases of infants with lobar pneumonia patients.These patients were randomly divided into two groups.One control group of 43 patients was treated with conventional systemic antibiotics,symptomatic and other treatment;one observation group of 43 cases was given Bronchoscopy Lavage（BAL） therapy on the basis of the control group and then we compared the clinical efficacy of the two groups.Result：the total effective rate of the observation group and control group is 95.35% and 86.04% respectively.There is no statistical significance to compare these Two sets of data between the two groups（P0.05）.The observation that the patients,the average duration of cough,fever clearance time,the lungs signs disappeared time and the shadow of the lung imaging absorption time are（7.1 ± 1.9） d,（5.2 ± 2.1） d,（10.2 ± 1.8） d,and（11.3 ± 2.2） d,respectively.All of Indicators of observation was better than those of control Group（P0.05）.The difference was statistically significant.Conclusion：The treatment of children with lobar pneumonia bronchoscopy has significant clinical effect.It was suitable for clinical application.