纤维支气管镜术治疗重症支原体肺炎患儿效果分析  

Effect of Fiberbronchoscopy in Treatment of Children with Severe Mycoplasma Pneumoniae Pneumonia

作　　者：彭献华[1] 马春英[1] 李冰冰 Peng Xianhua;Ma Chunying;Li Bingbing(Pediatric ICU,Sanmenxia Central Hospital,Sanmenxia 472000 Chin)

机构地区：[1]三门峡市中心医院儿童重症监护室,河南三门峡472000

出　　处：《锦州医科大学学报》2018年第4期39-42,共4页Journal of Jinzhou Medical University

摘　　要：目的探讨纤维支气管镜术治疗重症支原体肺炎患儿的效果。方法回顾性病例研究,选取2016年4月至2017年4月医院收治的MPP患儿62例作为研究对象,根据有无接受支气管镜术分为支气管镜组(35例)和常规组(27例),常规组患儿给予抗感染、止咳、祛痰等对症治疗,支气管镜组在常规治疗基础上给予纤维支气管镜术治疗,观察两组症状改善时间及住院时间,支气管镜组记录检查前、过声门、目标部位、检查结束时SpO_2变化情况。结果支气管镜组退热时间、咳嗽消失时间、住院时间均短于常规组,差异有统计学意义(P<0.05);支气管镜组2 w内影像学恢复正常率为77.14%高于常规组的51.85%,影像学恢复正常时间短于常规组,差异均有统计学意义(P<0.05);支气管镜组检查前、过声门、达到目标位置、检查结束时SpO_2无明显变化,差异无统计学意义(P>0.05),其中6例SpO_2检查过程中下降,停止灌洗或暂停灌洗后自我恢复,无1例患者出现心跳骤停、大咯血等严重并发症。结论常规治疗结合纤维支气管镜术治疗MPP,可显著改善患儿症状,缩短病程。Objective To explore the effect of fiberbronchoscopy in the treatment of children with severe mycoplasma pneumoniae pneumonia（ MPP）. Methods 62 children with severe MPP who were admitted to the hospital from April 2016 to April 2017 were selected and retrospectively studied,and they were divided into the bronchoscope group（ 35 cases） and the routine group（ 27 cases）according to the use of bronchoscope The routine group was given anti-infection,antitussive,expectorant and other symptomatic treatments On this basis,the bronchoscope group was treated with fiberbronchoscopy The time of symptom relief and the length of hospital stay of the two groups were observed Changes in SpO_2 in the bronchoscope group were recorded before the examination,over glottis,at the target site and at the end of examination. Results The fever clearance time,the time of cough disappearance and the length of hospital stay in the bronchoscope group were shorter than those in the routine group,with statistically significant difference（ P〈0. 05）. The imaging normalization rate of the bronchoscope group within 2 weeks was higher than that of the routine group（ 77. 14% vs51. 85%）,and the time of imaging recovery was shorter in the bronchoscope group than in the routine group,with statistically significant difference（ P〈0. 05）. There were no significant changes in SpO_2 in the bronchoscope group which were recorded before the examination,over glottis,at the target site and at the end of examination,without statistically significant difference（ P〈0. 05）. The SpO_2 of 6 cases decreased during examination,and it restored after stopping or pausing lavage. There were no serious complications such as cardiac arrest and massive hemoptysis. Conclusion Routine treatment combined with fiberbronchoscopy can significantly relieve the symptoms and shorten the course of MPP in children.

关 键 词：支原体肺炎 纤维支气管镜 血氧饱和度 

分 类 号：R563.1[医药卫生—呼吸系统]