他支气管镜肺泡蹒治疗小症肺炎的临戚瞬赡
【摘要】目的：探讨纤维支气管镜肺泡灌洗治疗小儿重症肺炎的价值。方法：取80例重症肺炎患儿进行实验，
随机将其分为两组，每组40例，一组为对照组，接受常规的治疗；另一组为观察组，在常规治疗的基础上增加应用纤
维支气管镜肺泡灌洗治疗。比较两组患儿临床疗效、炎症因子(CRP、IL-6及TNF-a)水平及症状缓解时间。结果：观
察组治疗总有效率明显高于对照组，差异具有统计学意义(Pv0.05)；治疗7d后，观察组患儿血清CRP、IL-6及TNF-a
水平低于对照组,差异具有统计学意义(Pv0.05)；观察组的各症状缓解时间短于对照组,差异具有统计学意义(P0.05)o
结论：针对小儿重症肺炎，采取纤维支气管镜肺泡灌洗治疗具有良好效果，可缓解患儿炎症，促进患儿症状早期改善，
值得推广。
【关键词】小儿重症肺炎；纤维支气管镜肺泡灌洗；疗效；炎性因子
Observatioofthecliicaleffectoffiberopticbrochoscopealveolarlavageithetreatmetofsevere
peumoiaichildre
JIANGChaga,LUZhoghua,YINDachi
DepartmetofPediatrics,JiagsuShuyagMigheHospital,Suqia,Jiagsu223600,Chia
［AbstractJObjective:Toexplorethevalueoffiberopticbrochoscopealveolarlavageithetreatmetofsevere
peumoiaichildre.Methods：80childrewithseverepeumoiawereselectedfortheexperimet,adtheywere
radomlydivideditotwogroups,with40casesieachgroup.Oegroupservedasthecotrolgroupadreceived
covetioaltreatmet；Theothergroupservedastheobservatiogroupadreceivedadditioalfiberoptic
brochoscopealveolarlavagetherapyothebasisofcovetioaltreatmet.Thecliicalefficacy,levelsof
iflammatoryfactors(CRP,IL-6adTNF-a)adsymptomsrelieftimebetweethetwogroupsofchildre.Results：
Thetotaleffectiverateoftreatmetitheobservatiogroupwassigificatlyhigherthathatithecotrolgroup,ad
thedifferecewasstatisticallysigificat(P0.05)；After7daysoftreatmet,thelevelsofserumCRP,IL-6ad
TNF-aitheobservatiogroupwerelowerthathoseithecotrolgroup,withsigificatdifferece(P0.05)；
Thetimeforsymptomsreliefitheobservatiogroupwasshorterthathatithecotrolgroup,withsigificat
differece(P0.05