小儿电子支气管镜在儿科重症监护室中的应用研究(1)
[摘要] 目的 探讨小儿电子支气管镜在儿科重症监护室中的应用研究。 方法 便利选取2017年9月—2019年8月以来该院儿科重症监护室收治的上机患儿96例，随机分为研究组和对照组各48例，对照组给予常规治疗，研究组给予电子支气管镜治疗。观察分析两组患儿血清、血气指标以及治疗时间、机械通气时间。 结果 研究组CPR(40.7±11.3)mg/L、WBC(7.5±1.3)×109/L、SaO2(96.4±2.4)%、PaO2(81.9±6.9)mmHg以及PaCO2(41.4±4.3)mmHg指标改善情况均优于对照组CPR(58.3±13.2)mg/L、WBC(12.1±1.6)×109/L、SaO2(87.3±4.7)%、PaO2(73.1±7.6)mmHg以及PaCO2(51.1±5.3)mmHg(t=11.064、11.372、12.913、11.781、11.952，P<0.05);研究组治疗时间(6.5±1.3)d以及机械通气时间(5.9±0.5)d均低于对照组治疗时间(9.9±2.1)d以及机械通气时间(9.2±1.6)d(t=11.638、11.202， P<0.05)。 结论 儿科重症监护室患儿应用電子支气管镜进行治疗可有效促进患儿血气指标改善，减少住院花费时间，使患儿病死率降低。
[关键词] 小儿;电子支气管镜;儿科;重症监护室
[中图分类号] R725.6 [文献标识码] A [文章编号] 1674-0742(2020)07(b)-0125-03
[Abstract] Objective Convenient select To explore the application of pediatric electronic bronchoscopy in pediatric intensive care unit. Methods ninety-six patients who were admitted to the pediatric intensive care unit of the hospital from September 2017 to August 2019 were randomly divided into a study group and a control group， each with 48 cases. The control group was given routine treatment and the study group was given electronic bronchoscopy treatment. Observation and analysis of serum and blood gas indexes， treatment time and mechanical ventilation time of two groups of patients. Results CPR (40.7±11.3) mg/L， WBC (7.5±1.3) ×109/L， SaO2(96.4±2.4)%，PaO2(81.9±6.9)mmHg and PaCO2(41.4±4.3) mmHg; the index improvement was better than the control group CPR (58.3±13.2) mg/L， WBC (12.1±1.6)×109/L， SaO2(87.3±4.7)%， PaO2(73.1±7.6) mmHg and PaCO2(51.1±5.3) mmHg (t=11.064， 11.372， 12.913， 11.781， 11.952，P<0.05); the research group of the treatment time (6.5±1.3)d and mechanical ventilation time (5.9±0.5)d were lower than those of the control group (9.9±2.1) d and mechanical ventilation time (9.2±1.6) d(t=11.638， 11.202，P<0.05). Conclusion The use of electronic bronchoscopy in the treatment of patients in the pediatric intensive care unit can effectively promote the improvement of the patient's blood gas index， reduce the time spent in hospital， and reduce the patient's mortality. It is worthy of clinical promotion.
[Key words] Pediatrics; Electronic bronchoscopy; Pediatrics; Intensive care unit
肺炎支原体是儿童社区获得性肺炎呼吸道感染的常见病原体，其极易导致肺炎支原体肺炎发生。肺炎支原体感染的病程较长，若症状较为严重还可引发多种肺外并发症，易造成病情迁延不愈，对患儿健康的影响极大。患儿发生较为严重的呼吸困难之后，会对婴幼儿的正常生长发育造成严重威胁，病情进展严重的还会进入儿科重症监护室。对于已经进入儿科重症监护室的患儿来说，则需要及时对其进行针对性的监护以及治疗，以便尽快减轻疾病对患儿造成的影响[1-2]。临床上应用的常规性治疗虽有一定效果，但并不理想，而小儿电子支气管镜在临床中的应用具有双重效用，不仅能够对患儿进行准确的诊断，还可对其进行对症治疗，特别是在治疗炎症以及异物时具有关键性作用。该研究便利选取2017年9月—2019年8月以来该院儿科重症监护室收治的上机患儿96例，对小儿电子支气管镜在儿科重症监护室中的应用效果进行探讨，现报道如下。, 百拇医药(曹捷)
[关键词] 小儿;电子支气管镜;儿科;重症监护室
[中图分类号] R725.6 [文献标识码] A [文章编号] 1674-0742(2020)07(b)-0125-03
[Abstract] Objective Convenient select To explore the application of pediatric electronic bronchoscopy in pediatric intensive care unit. Methods ninety-six patients who were admitted to the pediatric intensive care unit of the hospital from September 2017 to August 2019 were randomly divided into a study group and a control group， each with 48 cases. The control group was given routine treatment and the study group was given electronic bronchoscopy treatment. Observation and analysis of serum and blood gas indexes， treatment time and mechanical ventilation time of two groups of patients. Results CPR (40.7±11.3) mg/L， WBC (7.5±1.3) ×109/L， SaO2(96.4±2.4)%，PaO2(81.9±6.9)mmHg and PaCO2(41.4±4.3) mmHg; the index improvement was better than the control group CPR (58.3±13.2) mg/L， WBC (12.1±1.6)×109/L， SaO2(87.3±4.7)%， PaO2(73.1±7.6) mmHg and PaCO2(51.1±5.3) mmHg (t=11.064， 11.372， 12.913， 11.781， 11.952，P<0.05); the research group of the treatment time (6.5±1.3)d and mechanical ventilation time (5.9±0.5)d were lower than those of the control group (9.9±2.1) d and mechanical ventilation time (9.2±1.6) d(t=11.638， 11.202，P<0.05). Conclusion The use of electronic bronchoscopy in the treatment of patients in the pediatric intensive care unit can effectively promote the improvement of the patient's blood gas index， reduce the time spent in hospital， and reduce the patient's mortality. It is worthy of clinical promotion.
[Key words] Pediatrics; Electronic bronchoscopy; Pediatrics; Intensive care unit
肺炎支原体是儿童社区获得性肺炎呼吸道感染的常见病原体，其极易导致肺炎支原体肺炎发生。肺炎支原体感染的病程较长，若症状较为严重还可引发多种肺外并发症，易造成病情迁延不愈，对患儿健康的影响极大。患儿发生较为严重的呼吸困难之后，会对婴幼儿的正常生长发育造成严重威胁，病情进展严重的还会进入儿科重症监护室。对于已经进入儿科重症监护室的患儿来说，则需要及时对其进行针对性的监护以及治疗，以便尽快减轻疾病对患儿造成的影响[1-2]。临床上应用的常规性治疗虽有一定效果，但并不理想，而小儿电子支气管镜在临床中的应用具有双重效用，不仅能够对患儿进行准确的诊断，还可对其进行对症治疗，特别是在治疗炎症以及异物时具有关键性作用。该研究便利选取2017年9月—2019年8月以来该院儿科重症监护室收治的上机患儿96例，对小儿电子支气管镜在儿科重症监护室中的应用效果进行探讨，现报道如下。, 百拇医药(曹捷)