硬性支气管镜联合纤维支气管镜肺泡灌洗术治疗儿童气管异物合并重症肺炎的疗效分析  

Effect Analysis of Rigid Bronchoscope Combined with Fibrous Bronchoscope Alveolar Lavage in the Treatment of Children with Trachea Foreign Body Complicated with Severe Pneumonia

作　　者：应炳泉 贺芬 YING Bing-quan;HE Fen(Jiangxi Children's Hospital,Nanchang330038)

机构地区：[1]江西省儿童医院,南昌330038

出　　处：《实用中西医结合临床》2025年第4期1-4,共4页Practical Clinical Journal of Integrated Traditional Chinese and Western Medicine

基　　金：2023年江西省卫生健康委员会科技计划项目(编号:202311037)。

摘　　要：目的 分析硬性支气管镜联合纤维支气管镜肺泡灌洗术治疗儿童气管异物合并重症肺炎的应用效果。方法 选取医院2022年9月至2024年3月收治的62例气管异物合并重症肺炎患儿作为研究对象,按照治疗方式不同分为对照组与观察组,每组31例。对照组采用纤维支气管镜肺泡灌洗术治疗,观察组则在对照组的基础上联合硬性支气管镜治疗。对比两组临床效果、血气指标、血清炎性因子及并发症发生情况。结果 观察组治疗总有效率为93.55%,高于对照组的70.97%(P<0.05);治疗后观察组氧合指数(PaO_(2)/FiO_(2))与动态肺顺应性(CLdyn)高于对照组,动脉血二氧化碳分压(PaCO_(2))低于对照组(P<0.05);治疗后观察组各炎性因子水平均低于对照组(P<0.05);观察组并发症发生率为3.23%,低于对照组的25.81%(P<0.05)。结论 硬性支气管镜联合纤维支气管镜肺泡灌洗术,可更加有效地改善儿童气管异物合并重症肺炎的呼吸功能,降低血清炎性因子水平,且并发症发生率较低。Objective To analyze the application effect of rigid bronchoscope combined with fiberoptic bronchoscope alveolar lavage in the treatment of children with trachea foreign body complicated with severe pneumonia.Methods A total of 62 cases of children with trachea foreign body complicated with severe pneumonia admitted to our hospital from September 2022 to March 2024 were selected as subjects,they were divided into control group and observation group according to different treatment methods applied,with 31 cases in each group.The control group was treated with fiberoptic bronchoscope alveolar lavage,while the observation group was treated with a rigid bronchoscope on the basis of control group.The clinical effects,blood gas indexes,serum inflammatory factors and complications of the two groups were compared.Results The overall effective rate for the observation group was 93.55%,significantly surpassing the control group's rate of 70.96%(P<0.05).After treatment,the Oxygenation index(PaO_(2)/FiO_(2))and dynamic lung compliance(CLdyn)in observation group were higher than those in control group,the arterial partial pressure of carbon dioxide(PaCO_(2))in the experimental group was found to be significantly lower than that in the control group(P<0.05).After treatment,the inflammatory indices observed in the observation group were significantly lower than those in the control group(P<0.05).Additionally,the incidence of complications in the observation group was recorded at 3.23%,which is markedly lower than the 25.81%observed in the control group(P<0.05).Conclusions Rigid bronchoscope combined with fiberoptic bronchoscope alveolar lavage can more effectively improve the respiratory function of children with tracheal foreign body complicated with severe pneumonia,reduce the level of inflammatory factors and lower the incidence of complications.

关 键 词：儿童气管异物 重症肺炎 硬性支气管镜 纤维支气管镜肺泡灌洗术 血气指标 

分 类 号：R768.13[医药卫生—耳鼻咽喉科]