支气管镜异物取出术联合支气管肺泡灌洗术治疗小儿植物性支气管异物的效果

Clinical effect of bronchoscopic foreign body removal combined with bronchoalveolar lavage in the treatment of plant-derived bronchial foreign body in children

目的探讨小儿植物性支气管异物应用支气管镜异物取出术联合支气管肺泡灌洗术的治疗效果。方法选取70例植物性支气管异物患儿,随机将患儿分组,每组35例。对照组患者采取支气管镜异物取出术治疗,而观察组在此基础上实施支气管肺泡灌洗术,比较两组患者的治疗效果以及各项并发症消失时间。结果观察组的有效率较对照组有所升高,但差异无统计学意义,而观察组咳嗽、喘息和气促、湿啰音的改善优于对照组,差异有统计学意义。结论支气管镜异物取出术联合支气管肺泡灌洗术应用在小儿植物性支气管异物中的治疗中,其疗效相对较好,更利于缩短患者的住院时间和症状体征消失时间。

Objective:To investigate the therapeutic effect of bronchoscopic foreign body removal combined with bronchoalveolar lavage in children with plant bronchial foreign body.Methods:A total of 70 children with plant-derived bronchial foreign body in our hospital were selected,and the children were divided into groups by the numerical random table method,with 35 patients in each group.The patients in the control group were treated with bronchoscopic foreign body removal,while the patients in the observation group were treated with bronchoalveolar lavage on this basis of bronchoscopic foreign body removal,and the results of the two groups and the disappearance time of various complications were compared.Results:The effective rate of the observation group was higher than that of the control group,but the difference was not statistically significant.The improvement of cough,wheezing,shortness of breath and wet rales in the observation group was better than that in the control group,and the difference was statistically significant.Conclusion:Bronchoscopic foreign body removal combined with bronchoalveolar lavage in the treatment of children with plant bronchial foreign body has a relatively good effect,which can shorten the length of hospital stay and the disappearance of symptoms and signs.