探讨支气管肺泡灌洗术治疗小儿重度肺炎的疗效及对心脏节律的影响  

The efficacy of bronchial lavage in treatment of children with severe pneumonia and its effect on heart rhythm

作　　者：王晶[1] 李杰[1] 

机构地区：[1]山东省滕州市中心人民医院小儿科,山东滕州277500

出　　处：《世界最新医学信息文摘》2014年第29期37-37,39,共2页World Latest Medicine Information Electronic Version

摘　　要：目的：探讨支气管肺泡灌洗术治疗小儿重度肺炎的疗效及对心脏节律的影响。方法将我院收治的重症肺炎的小儿患者64例作为研究对象，随机分为治疗组和对照组各32例，研究组患儿给与支气管肺泡灌洗术进行治疗，对照组给与一般疗法进行治疗，比较其临床疗效及治疗前后心脏节律发生的变化情况。结果研究组临床效果为显效的有68.75%，总有效率为93.75%，高于对照组的40.63%和71.88%，其差异显著（P ＜0.05），具有统计学意义；研究组患儿心律为60-105次/min，相对于研究组45-110次/min 则显著趋于正常值，其差异显著（P ＜0.05），具有统计学意义）。结论支气管肺泡灌洗术治疗小儿重度肺炎具有比较满意的临床疗效，具有操作简单、反应小、创伤小，无明显并发症等优点，可在临床上推广使用。Objective To investigate the efficacy of bronchoalveolar lavage in treatment of children with severe pneumonia, and its effects on heart rhythm.Methods 64 pediatric patients admitted to our hospital with severe pneumonia for the study were randomly divided into treatment group and control group, 32 cases in each group. Patients in treatment group were given bronchoalveolar lavage treatment, while patients in control group were given general treatment. the clinical efficacy and changes in heart rhythm before and after treatment were compared.Results the clinical effect of the study group was markedly in 68.75%, and the total effective rate was 93.75%, higher than that of control group, of which the corresponding data was 40.63% and 71.88%, respectively. The difference was significant （P 〈0.05）, with statistical significance. The heart rhythm of children in the study group of 60 to 105 beats / min, compare with the research group of 45 to 110 beats / min was significantly tending to normal, the difference was significant （P 〈0.05）, with statistical significance. Conclusion the bronchoalveolar lavage treatment of children with severe pneumonia has relatively satisfactory clinical outcome, with advantages of simple operation, small reaction, little trauma, no significant complications, etc., can be used widely in clinical practice.

关 键 词：支气管肺泡 灌洗术 重度肺炎 心脏节律 

分 类 号：R725[医药卫生—儿科]