硬质支气管镜并支气管灌洗治疗小儿植物性异物临床疗效

Effect of rigid bronchoscope and bronchial lavage on children with plant foreign body

目的探讨单纯硬质支气管镜取出术与硬质支气管镜联合支气管灌洗治疗术两种方法对小儿支气管植物性异物治疗的临床疗效。方法选取2014年10月至2015年12月湖南省儿童医院收治的支气管植物性异物患儿79例为研究对象,根据临床不同治疗方案分为观察组40例与对照组39例。对照组单纯给予患儿硬质支气管镜异物取出术治疗,观察组在对照组基础上再行支气管灌洗治疗,观察对比两组患儿临床主要症状体征消失时间、平均住院时间和临床疗效。结果观察组患儿气促(或喘息)、咳嗽及湿啰音消失时间均显著短于对照组,差异有统计学意义(P<0.05)。观察组患儿平均住院时间为(4.15±1.41)d,显著短于对照组(6.16±1.84)d,差异有统计学意义(P<0.05)。观察组患儿治疗显效率为75.0%(30/40),显著高于对照组38.4%(15/39),差异有统计学意义(P<0.05)。结论小儿支气管植物性异物应用硬质支气管镜异物取出术、支气管灌洗联合治疗临床疗效佳,患儿临床症状及体征消失时间快,康复进程短,临床值得推广应用。

ObjectiveTo explore the clinical effect of two methods in the treatment of bronchial plant foreign body in children： simple rigid bronchoscope and bronchoscopy combined with bronchial lavage.Methods From October 2014 to December 2015, 79 children with bronchial plant foreign bodies treated in Hunan Children＇s Hospital were selected as the subjects. According to different clinical treatments, there were 40 cases in the observation group and 39 cases in the control group. The control group was treated with the removal under rigid bronchoscope, and the observation group was treated with bronchial lavage combined with bronchoscope. The time of disappearance of the main symptoms, the mean time of hospitalization and the clinical effect were observed and compared between the two groups. Results The disappearance time of shortness of breath （or wheezing）, cough and moist rales in the observation group was significantly shorter than that in the control group （ P 〈0.05）. The mean hospitalization time of the observation group was （4.15± 1.41 ） days, which was significantly shorter than that of the control group （6.16±1.84） days, and the difference was statistically significant （ P 〈0.05）. The effective rate of the observation group was 75.0% （30/40）, which was significantly higher than that of the control group （38.4% ,15/39）, and the difference was statistically significant （ P 〈0.05）.Conclusion The treatment for bronchial plant foreign bodies in children with rigid bronchoscope combined with bronchial lavage has good clinical effect; the clinical symptoms and signs of children disappear quickly, and the recovery process is short, so it＇s worth clinical application.