地塞米松联合纤维支气管镜肺泡灌洗对小儿重症支原体肺炎的疗效观察  

Effect of dexamethasone combined with bronchoalveolar lavage in children with severe mycoplasma pneumonia

作　　者：张玉岩[1] 徐利[1] 耿化晓 申长清[1] 牛峰海[1] 

机构地区：[1]济宁医学院附属医院,山东济宁272000

出　　处：《临床医药文献电子杂志》2016年第33期6515-6516,共2页Electronic Journal of Clinical Medical Literature

摘　　要：目的 观察地塞米松联合纤维支气管镜肺泡灌洗治疗小儿重症支原体肺炎的治疗疗效.方法 选取2015年6月-12月济宁医学院附属医院小儿呼吸科住院治疗的小儿重症支原体肺炎（SMPP）患儿58例作为研究对象,治疗组30例,使用激素治疗,对照组28例,未用激素治疗,都行纤维支气管镜肺泡灌洗治疗.观察两组患儿的临床特征等指标.结果 治疗组入院后发热及咳嗽时间均短于对照组,差异有统计学意义（P〈0.05）,1月后肺部炎症吸收率未见明显差异,差异无统计学意义（P〉0.05）.结论 地塞米松联合纤维支气管镜肺泡灌洗治疗小儿重症支原体肺炎疗效较好,有利于缩短发热、咳嗽时间,促进肺部炎症吸收.Objective To observe the clinical effect of dexamethasone combined with fiber bronchoscopy lavage in the treatment of children with severe myeoplasma pneumonia. Methods From June 2015 to December in Affiliated Hospital of Jining Medical College pediatric department of respiration hospitalized SMPP patients 58 cases as the research object, 30 cases in the treatment group, use of hormone therapy, 28 cases in the control group, without hormone therapy, OK bronchoalveolar lavage. The clinical features observed two groups of children. Results The treatment group after admission fever and cough time were shorter than the control group, the difference was statistically significant （P〈0.05）, after January, there was no significant difference in pulmonary inflammatory absorption rate, the difference was not statistically significant （P〉0.05）. Conclusion In the treatment of RMPP children, dexamethasone combined with bronchoscopy therapy can help shorten the fever course and cough rlieftime and promote chest radiography improvement.

关 键 词：地塞米松 支气管镜 支原体肺炎 重症 

分 类 号：R375[医药卫生—病原生物学]