| 应炳泉,贺芬.硬性支气管镜联合纤维支气管镜肺泡灌洗术在治疗儿童气管异物合并重症肺炎的应用效果分析[J].实用中西医结合临床,2025,25(4): |
| 硬性支气管镜联合纤维支气管镜肺泡灌洗术在治疗儿童气管异物合并重症肺炎的应用效果分析 |
| Application effect analysis of rigid bronchoscope combined with fibrous bronchoscope alveolar lavage in the treatment of children with trachea foreign body complicated with severe pneumonia |
| 投稿时间：2024-07-31 修订日期：2024-08-30 |
| DOI： |
| 中文关键词: 硬性支气管镜 纤维支气管镜肺泡灌洗术 儿童气管异物 重症肺炎 |
| 英文关键词: rigid bronchoscope Fibrobronchoscope alveolar lavage Trachea foreign body in children Severe pneumonia |
| 基金项目:2023年度江西省卫生健康委科技计划项目（202311037） |
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| 中文摘要: |
| 目的：分析硬性支气管镜联合纤维支气管镜肺泡灌洗术,在治疗儿童气管异物合并重症肺炎中的应用效果。方法：选取我院2020年1月至2022年2月期间收治的62例儿童气管异物合并重症肺炎患者作为探讨对象,以治疗方式不同分为对照组与观察组,每组31例。对照组采用纤维支气管镜肺泡灌洗术进行治疗,而观察组则在对照组的基础上,添加了硬性支气管镜的治疗。我们将对比两组在临床效果、血气指标、血清炎性因子及并发症方面的差异。结果：观察组治疗总有效率为93.55%,高于对照组70.96%(P＜0.05)；治疗后观察组PaO?/FiO?(氧合指数)与CLdyn(动态肺顺应性)高于对照组,PaCO2(动脉二氧化碳分压)低于对照组(P＜0.05)；治疗后观察组各炎性因子水平均低于对照组(p＜0.05)；观察组并发症发生率为3.23%,低于对照组25.81%(P＜0.05)。结论：硬性支气管镜联合纤维支气管镜肺泡灌洗术,可更加有效地改善儿童气管异物合并重症肺炎的呼吸功能,降低炎性因子水平且并发症发生率较低。 |
| 英文摘要: |
| Application effect analysis of rigid bronchoscope combined with fibrous bronchoscope alveolar lavage in the treatment of children with trachea foreign body complicated with severe pneumonia: Objective: To analyze the application effect of rigid bronchoscope combined with fiberoptic bronchoscope alveolar lavage in the treatment of children with trachea foreign body complicated with severe pneumonia. Methods: A total of 62 cases of children with trachea foreign body complicated with severe pneumonia admitted to our hospital from January 2020 to February 2022 were selected as subjects, the participants were divided into a control group and an observation group based on the different treatment methods applied, with each group comprising 31 cases. The control group underwent treatment with fiberoptic bronchoscope alveolar lavage, while the observation group received treatment with a rigid bronchoscope in addition to the control group"s protocol. The clinical effects, blood gas indexes, serum inflammatory factors and complications of the two groups were compared. Results: The overall effective rate for the observation group was 93.55%, significantly surpassing the control group"s rate of 70.96% (P < 0.05). After treatment, the PaO?/FiO? (Oxygenation index) and CLdyn (dynamic lung compliance) in observation group were higher than those in control group, the arterial partial pressure of carbon dioxide (PaCO2) in the experimental group was found to be significantly lower than that in the control group (P < 0.05). Upon treatment, the inflammatory indices observed in the study group were significantly lower than those in the control group (p < 0.05). Additionally, the incidence of complications in the study group was recorded at 3.23%, which is markedly lower than the 25.81% observed in the control group (P < 0.05). Conclusion: Rigid bronchoscope combined with fiberbronchoscope alveolar lavage can more effectively improve the respiratory function of children with tracheal foreign body complicated with severe pneumonia, reduce the |
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