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目的探讨小儿难治性肺炎治疗中纤维支气管镜灌洗术的临床价值。方法 98例小儿难治性肺炎患儿,随机将其分为观察组和对照组,各49例,给予对照组患儿常规治疗,观察组则在对照组的基础上加行纤维支气管镜灌洗及注药治疗,对两组患儿的治疗总有效率、体温恢复时间、影像学恢复正常时间、住院时间及后遗症发生率进行对比。结果观察组患儿的治疗总有效率95.9%明显高于对照组71.4%(P<0.05),观察组患儿的体温恢复时间、影像学恢复正常时间、住院时间均明显短于对照组(P<0.05),观察组患儿的后遗症发生率4.1%明显低于对照组18.4%(χ2=5.02,P<0.05)。结论给予小儿难治性肺炎患儿纤维支气管镜灌洗术治疗可有效的提高治疗效果,促进患儿康复,减少后遗症发生,临床效果显著,值得推广和应用。
Objective To investigate the clinical value of fiberoptic bronchoscopy lavage in the treatment of pediatric intractable pneumonia. Methods A total of 98 pediatric patients with refractory pneumonia were randomly divided into observation group and control group, 49 cases in each group. The control group received routine treatment and the observation group was treated with fiberoptic bronchoscopy And injection therapy, the total effective rate of treatment of two groups of children, body temperature recovery time, imaging recovery time, hospitalization and sequelae incidence compared. Results The total effective rate of observation group was 95.9%, which was significantly higher than 71.4% of the control group (P <0.05). The body temperature recovery time, imaging recovery time and hospitalization time in the observation group were significantly shorter than those in the control group <0.05). The incidence of sequelae in observation group was significantly lower than that in control group (4.1% vs 18.4%, χ2 = 5.02, P <0.05). Conclusions The treatment of children with refractory pneumonia by fiberoptic bronchoscopy lavage can effectively improve the therapeutic effect, promote the rehabilitation of children and reduce the occurrence of sequelae. The clinical effect is worthy of popularization and application.