电子纤维支气管镜对儿童难治性肺炎支原体肺炎的临床疗效研究

Clinical Efficacy of Electronic Bronchoscopy in Children with Refractory Mycoplasma Pneumoniae Pneumonia

目的:观察奥林巴斯BF3C-40型电子纤维支气管镜灌洗疗法治疗儿童难治性肺炎支原体肺炎的疗效。方法:将60例患儿分为药物组和电子纤维支气管镜组(各30例)。药物组给予抗感染、退热、止咳等药物对症治疗。电子纤维支气管镜组加用电子纤维支气管镜灌洗治疗。观察两组临床疗效。结果:电子纤支镜组患儿的咳嗽持续时间、肺部湿啰音、住院时间均显著短于对照组(t=3.87,3.67,7.65,P<0.05)。电子纤支镜组患儿的总有效率显著高于对照组(χ2=10.708,P<0.05)。治疗后各个时间点治疗组的WBC、CRP、ESR变化状况均优于对照组(t=1.12,1.03,1.17;t=2.33,2.47,3.58;t=1.65,3.13,3.93,P<0.05)。结论:电子纤支镜灌洗疗法能显著增强难治性肺炎支原体肺炎患儿的治疗效果,促进临床症状及肺部体征改善。

Objective:To observe the effect of OLYMPUS BF3C-40 type electron fiber bronchoscopy in the treatment of children with refractory Mycoplasma pneumoniae pneumonia.Methods:Sixty children with refractory mycoplasmalpneumonia were divided into the medicine group and the electron branchofiberoscope group(30 cases in each group)The medicine group was given antiinfection,ntipyretic,and relieve cough medicine.The electron branchofiberoscope was added in the electron branchofiberoscope group,the clinical effect were observed in two groups.Results:The cough duration,moist rales,and hospitalization time were significantly shorter in the electron branchofiberoscope group(t=3.87,3.67,7.65,P<0.05).After treatment,the difference of CRP,WBC,ESR among two groups were significantly better in the electron branchofiberoscope group,there were significant difference(t=1.12,1.03,1.17;t=2.33,2.47,3.58;t=1.65,3.13,3.93,P<0.05).The total effective rate in the electron branchofiberoscope group were significantly higher than that in the drug group(χ2=10.708,P<0.05).Conclusion:The electron branchofiberoscope lavage therapy can significantly improve the effect of treatment in children with refractory mycoplasmal pneumonia and improve the symptom in the lung.