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目的:探讨经纤维支气管镜灌洗治疗儿童顽固性肺炎的治疗效果。方法:选择儿童顽固性肺炎患者48例,随机选择26例行纤维支气管镜灌洗治疗+常规治疗(实验组),另22例行单存常规治疗(对照组),对比两组治疗方案的有效率。结果:实验组22例(84.62%)有效,肺炎治疗有效时间为(9±2.1)d,对照组12例(54.55%)有效,肺炎治疗有效时间为(15.6±3.8)d。实验组肺炎治疗有效率明显高于对照组(p<0.05),且肺炎治疗有效时间明显少于对照组(p<0.05)。结论:纤维支气管镜灌洗是治疗儿童顽固性肺炎的一种有效方法。
Objective: To investigate the therapeutic effect of bronchoscopic lavage on refractory childhood pneumonia. Methods: Forty-eight children with intractable pneumonia were selected. Twenty-six patients were randomly selected to receive lavage therapy by fiberoptic bronchoscopy plus conventional therapy (experimental group), and the other 22 patients were treated with conventional therapy (control group) effectiveness. Results: The experimental group was effective in 22 cases (84.62%), the effective time of pneumonia treatment was (9 ± 2.1) days, the control group was effective in 12 cases (54.55%) and the effective time of pneumonia treatment was (15.6 ± 3.8) days. The experimental group pneumonia treatment efficiency was significantly higher than the control group (p <0.05), and the effective time of pneumonia was significantly less than the control group (p <0.05). Conclusion: Fiberoptic bronchoscopy is an effective method to treat intractable pneumonia in children.