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目的观察地塞米松联合纤维支气管镜肺泡灌洗治疗小儿重症支原体肺炎的治疗疗效。方法选取2015年6月~12月济宁医学院附属医院小儿呼吸科住院治疗的小儿重症支原体肺炎(SMPP)患儿58例作为研究对象,治疗组30例,使用激素治疗,对照组28例,未用激素治疗,都行纤维支气管镜肺泡灌洗治疗。观察两组患儿的临床特征等指标。结果治疗组入院后发热及咳嗽时间均短于对照组,差异有统计学意义(P<0.05),1月后肺部炎症吸收率未见明显差异,差异无统计学意义(P>0.05)。结论地塞米松联合纤维支气管镜肺泡灌洗治疗小儿重症支原体肺炎疗效较好,有利于缩短发热、咳嗽时间,促进肺部炎症吸收。
Objective To observe the curative effect of dexamethasone combined with bronchoscopy and bronchoalveolar lavage in children with severe mycoplasma pneumonia. Methods Fifty-eight children with severe Mycoplasma pneumonia (SMPP) admitted to Pediatric Respiratory Hospital of Jining Medical College Affiliated Hospital from June to December 2015 were selected as the research object. The treatment group was treated with hormone therapy, while the control group, 28 cases, With hormone therapy, bronchoscopy are alveolar lavage treatment. Observed the clinical characteristics of two groups of children and other indicators. Results The fever and cough time of the treatment group were shorter than that of the control group after admission (P <0.05). There was no significant difference in the lung inflammation absorption rate after 1 month (P> 0.05). Conclusion Dexamethasone combined with bronchoscopic bronchoalveolar lavage treatment of children with severe mycoplasma pneumonia is better, shorten the fever, cough and promote lung inflammation absorption.