记分法评价支气管镜肺泡灌洗术治疗儿童大叶性肺炎的疗效  

作　　者：林业辉[1] 白珺[1] 潘志伟[1] 陈进喜[1] 张洁妍[1] 

机构地区：[1]广东省佛山市妇幼保健院,528000

出　　处：《浙江临床医学》2018年第5期831-833,共3页Zhejiang Clinical Medical Journal

基　　金：广东省佛山市科技局科技攻关课题（2014AB00378）

摘　　要：目的 探讨应用记分法评价支气管镜肺泡灌洗术治疗儿童大叶性肺炎的疗效.方法 选择2014年7月至2017年6月大叶性肺炎患儿100例,随机分为观察组和对照组,各50例.对照组给予抗感染、止咳化痰、雾化吸入等常规药物治疗,观察组在对照组的基础上给予支气管镜肺泡灌洗术治疗.用记分法比较两组患儿发热、咳嗽、肺部湿啰音、血常规、CRP、胸部CT/胸片等指标的改善情况.结果 观察组治愈率和总有效率明显高于对照组,差异有统计学意义（P〈0.05）.支气管镜肺泡灌洗术有助于缩短热程,改善咳嗽症状,促进肺部啰音吸收,有助于胸片肺部病灶的吸收消散,差异有统计学意义（P〈0.05）.但对于外周血WBC和CRP恢复正常无明显作用（P〉0.05）.结论 支气管镜肺泡灌洗术治疗儿童大叶性肺炎疗效肯定.用记分法进行评价比较系统全面,结果客观准确.Objective To investigate the effect of bronchoalveolar lavage （ BAL ） on lobar pneumonia in children by scoring method. Methods 100 children with lobar pneumonia treated in our hospital from July 2014 to June 2017 were randomly divided into the observation group and the control group, each with 50 eases. The control group was given anti infection, cough, sputum, aerosol inhalation and other conventional drags, the observation group was given bronchoalveolar lavage on the basis of the control group. Scoring method was used to compare the improvement of fever, cough, lung wet tales, blood routine, CRP, chest CT/ chest film and so on in two groups. Results The cure rate and total effective rate of the observation group were obviously higher than that of the control group, with significant difference （ P〈0.05 ） . Bronchoscopic bronchoalveolar lavage could shorten the course of heat, improve cough symptoms, and promote absorption of pulmonary rales, and contribute to the absorption and removal of lung lesions in chest films, with significant difference （ P〈0.05 ） . But for peripheral blood, WBC and CRP had no effect on normal recovery, without significant difference （ P〉0.05 ） . Conclusion Bronchoalveolar lavage is effective in the treatment of lobar pneumonia in children. It is systematic and comprehensive to evaluate by scoring method, the results are objective and accurate.

关 键 词：支气管镜 肺泡灌洗术 大叶性肺炎 儿童 

分 类 号：R764.437[医药卫生—耳鼻咽喉科]