集束整合多维度干预策略应用于纤维支气管镜下取异物患儿对其炎症吸收和并发症的影响

Effect of focused integration multidimensional intervention strategy on absorption of inflammation and complications in children taking bronchial foreign body under fiber bronchoscope

目的探讨集束整合多维度干预策略应用于纤维支气管镜下取异物患儿对其炎症吸收和并发症的影响,为临床诊治提参考依据。方法 58例对照组行纤维支气管镜下取异物患儿于2017年1月-9月由中国医科大学附属盛京医院收治,为其实施传统干预措施。58例观察组行纤维支气管镜下取异物患儿于2017年10月-2018年6月由中国医科大学附属盛京医院收治,为其实施集束整合多维度干预策略。比较两组患儿并发症的发生率、炎症吸收情况;比较两组患儿在干预前和干预后的肺功能水平。结果观察组患儿并发症的发生率低于对照组,差异有统计学意义(P<0. 05)。观察组患儿气道通畅、痰鸣音减少的发生率高于对照组,呼吸困难的发生率低于对照组,差异有统计学意义(均P<0. 05)。观察组治疗后的第1秒用力呼气容积(FEV1)、第1秒用力呼气容积/用力肺活量(FEV1/FVC)和呼气峰流速(PEF)预计值均高于对照组,差异有统计学意义(均P<0. 05)。结论集束整合多维度干预策略应用于纤维支气管镜下取异物患儿,能促进炎症吸收,且能减少并发症的发生率。

Objective To explore the effect of focused integration multidimensional intervention strategy on absorption of inflammation and complications in children taking bronchial foreign body under fiber bronchoscope,provide a reference basis for clinical diagnosis and treatment.Methods From January to September in 2017,58 children taking bronchial foreign body under fiber bronchoscope were selected from Shengjing Hospital as control group,routine intervention measures were given;from October 2017 to June 2018,58 children taking bronchial foreign body under fiber bronchoscope were selected from Shengjing Hospital as observation group,focused integration multidimensional intervention strategy was given.The incidence rates of complications,absorption of inflammation,the levels of pulmonary function before and after intervention in the two groups were compared.Results The incidence rate of complications in observation group was statistically significantly lower than that in control group(P<0.05).The incidence rates of unobstructed airway and phlegm decrease in observation group were statistically significantly higher than those in control group,the incidence rate of dyspnea in observation group was statistically significantly lower than that in control group(P<0.05).The predicted values of FEV1,FEV1/FVC,PEF after intervention in observation group were statistically significantly higher than those in control group(P<0.05).Conclusion Focused integration multidimensional intervention strategy can promote absorption of inflammation and reduce the incidence rate of complications in children taking bronchial foreign body under fiber bronchoscope.