摘要
目的观察超细支气管镜在儿童难治性肺炎支原体肺炎的应用效果.方法难治性肺炎支原体肺炎患儿82例分为两组,观察组(48例)使用超细支气管镜进行治疗,对照组(34例)使用常规支气管镜进行治疗.比较两组手术相关资料和治疗前后肺功能变化.结果观察组SpO_(2)<92%和再次支气管镜的比例少于对照组,发现狭窄闭塞和C T明显改善比例多于对照组,发热持续时间短于对照组(P<0.05).与治疗前相比,两组患儿治疗后肺功能均有改善(P<0.05).治疗后,观察组用力肺活量、第1秒用力呼气容积、75%肺活量的呼气流速和用力呼气中期流速高于对照组(P<0.05).结论与常规支气管镜相比,采用超细支气管镜治疗儿童难治性肺炎支原体肺炎更易清除支气管内痰栓,对肺功能改善更显著.
Objective To observe the application efficacy of ultrathin bronchoscope in the children with refractory mycoplasma pneumonia.Methods Eighty-two children with refractory mycoplasma pneumonia were treated with ultrathin bronchoscope(group A,48 cases)or with conventional bronchoscope(group B,34 cases).The surgery-related indicators and the changes of lung function were detected before and after treatment.Results Compared with group B,the percentages of the children with SpO_(2) less than 92%and needing secondary bronchoscopy were lower,and those of finding stenosis and occlusion and having CT image improvement were higher,and the duration of the fever was shorter in group A(P<0.05).Compared to before,the lung function was improved in both groups after treatment(P<0.05).After treatment,the forced vital capacity,forced expiratory volume in the first second,expiratory flow at 75%lung capacity and forced mid-expiratory flow velocity were higher in group A than those in group B(P<0.05).Conclusion Compared to conventional bronchoscopy,the treatment using ultrathin bronchoscope is more easier to remove the bronchial sputum plug and improve lung function in the children with refractory mycoplasma pneumonia.
作者
张利兵
徐金梅
陈晓
魏文凭
蒋丽军
ZHANG Libing;XU Jinmei;CHEN Xiao(Department of Pediatrics,Affiliated Hospital,Yangzhou University,Yangzhou 2250009 CHINA)
出处
《江苏医药》
CAS
2022年第4期344-346,共3页
Jiangsu Medical Journal
基金
江苏省卫生健康委员会妇幼健康科研项目(F201858)。
