小儿难治性支原体肺炎患者应用电子支气管镜肺泡灌洗术效果探析

Effect Analysis of Electronic Bronchoscopy Alveolar Lavage for Children with Refractory Mycoplasma Pneumoniae Pneumonia

目的分析对小儿难治性支原体肺炎患者实施电子支气管镜肺泡灌洗术治疗的效果。方法选取2021年12月—2023年3月本院收治的86例小儿难治性支原体肺炎患者为研究对象,随机将患者划分至A组和B组,每组43例。A组患者接受常规治疗,B组患者接受电子支气管镜肺泡灌洗术治疗。比较两种治疗方案的效果。结果B组治疗有效率高于A组,组间差异有统计学意义(P<0.05);治疗后,B组患者平均症状消失时间比A组更短,组间差异有统计学意义(P<0.05);B组患者平均住院时间比A组更短,组间差异有统计学意义(P<0.05);B组FVC、FEV1、FEV1/FVC指标值高于A组,组间差异有统计学意义(P<0.05);B组患者的各项炎症因子水平均低于A组,组间差异有统计学意义(P<0.05)。结论支原体肺炎作为一种典型的小儿难治性肺炎,其常规治疗方案的疗效较为有限。针对此类病患,实施电子支气管镜肺泡灌洗术能够显著提升治疗成效。

Objective To analyze effect of electronic bronchoscopic alveolar lavage(EBALF)for children with mycoplasma pneumonia.Methods The paper chose 86 children with refractory mycoplasma pneumoniae pneumonia from December 2021 to March 2023 as study subjects,and divided them into group A and group B randomly,with the same number of cases in each group.Group A was treated with routine treatment,while group B with electronic bronchoscopic alveolar lavage treatment.Curative effect was compared between two treatment options.Results Effective rate of treatment in group B was higher than group A(P<0.05).After treatment,average time of symptoms disappearance in group B was shorter than group A(P<0.05).Average length of stay in group B was shorter than group A(P<0.05).The FVC,FEV1,and FEV1/FVC index values of group B were higher than group A(P<0.05).The levels of various inflammatory factors in group B were lower than group A(P<0.05).Conclusion Mycoplasma pneumonia is typical refractory pneumonia for children,and routine treatment has limited effect.Electronic bronchoscopy alveolar lavage can significantly improve curative effect of children.