临床采用支气管镜术治疗支原体肺炎并肺不张的效果分析  

Clinical Analysis of the Effect of Bronchoscopy in the Treatment of Mycoplasma Pneumonia Complicated with Atelectasis

作　　者：刘磊 李红建[1] LIU Lei;LI Hongjian(Department of Respiratory Medicine,Shanxian Central Hospital,Heze 274300,Shandong,China)

机构地区：[1]单县中心医院呼吸内科,山东菏泽274300

出　　处：《中外医疗》2024年第24期39-42,共4页China & Foreign Medical Treatment

摘　　要：目的 研究临床采用支气管镜术治疗支原体肺炎并肺不张的效果。方法 方便选取2022年3月—2023年10月单县中心医院收治的120例支原体肺炎并肺不张患者为研究对象,以不同治疗方法将其分为参照组和观察组,各60例。参照组行常规治疗,观察组在参照组的基础上增加支气管镜术治疗,比较两组的炎症反应、呼吸和气体交换功能及治疗总有效率。结果 治疗后,两组的肿瘤坏死因子-α、白细胞介素-6表达水平均下降,且观察组低于参照组,差异有统计学意义(P均<0.05)。治疗后,两组患者的动脉血氧分压及动脉二氧化碳分压均较治疗前改善,且观察组优于参照组,差异有统计学意义(P均<0.05)。观察组的治疗总有效率为96.67%(58/60),明显高于参照组的81.67%(49/60),差异有统计学意义(χ^(2)=6.988,P=0.008)。结论 在支原体肺炎并肺不张患者的临床治疗中,支气管镜术具有良好治疗应用价值,可以有效降低炎症反应水平,促进呼吸和气体交换功能的恢复,提高治疗有效率。Objective To study the effect of bronchoscopy in the treatment of mycoplasma pneumonia complicated with atelectasis.Methods A total of 120 patients with mycoplasma pneumonia complicated with atelectasis admitted to Shanxian Central Hospital from March 2022 to October 2023 were conveniently selected as the research objects,and they were divided into reference group and observation group according to different treatment methods,with 60 cases in each group.The reference group was treated with routine treatment,and the observation group was treated with bronchoscopy on the basis of the reference group.The inflammatory response,respiratory and gas exchange function,and total effective rate of treatment were compared between the two groups.Results After treatment,the expression levels of tumor necrosis factor-αand interleukin-6 in the two groups decreased,and those in the observation group were lower than the reference group,the differences were statistically significant(all P<0.05).After treatment,the arterial oxygen partial pressure and arterial carbon dioxide partial pressure of the two groups were improved compared with those before treatment,and the observation group was better than the reference group,the differences were statistically significant(all P<0.05).The total effective rate of treatment in the observation group was 96.67%(58/60),which was significantly higher than 81.67%(49/60)in the reference group,and the difference was statistically significant(χ^(2)=6.988,P=0.008).Conclusion In the clinical treatment of patients with mycoplasma pneumonia and atelectasis,bronchoscopy has good therapeutic application value,which can effectively reduce the level of inflammatory response,promote the recovery of respiratory and gas exchange function,and improve the treatment efficiency.

关 键 词：支气管镜术 支原体肺炎 肺不张 炎症反应 呼吸和气体交换功能 治疗效果 

分 类 号：R563[医药卫生—呼吸系统]