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局麻下支气管镜和球囊扩张术在儿童呼吸系统疾病治疗中应用效果 被引量:12

Application of bronchoscopy and balloon dilation under local anesthesia in the treatment of children with respiratory diseases
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摘要 目的探究局麻下支气管镜和球囊扩张术在儿童呼吸系统疾病治疗中应用效果及预后。方法选取2014年5月至2016年12月信宜市人民医院儿科收治的呼吸系统疾病患儿94例,均在局麻情况下行支气管镜诊断,并根据诊断情况予以支气管镜下介入治疗,包括高压球囊扩张术。观察支气管镜检查结果,比较治疗前后血气分析与心率情况、生活质量评分。结果支气管镜检查明确肺部感染67例、肺不张15例、反复咳喘8例、支气管异物2例、发育异常2例;治疗后心率与血气分析各指标水平均优于治疗前,差异有统计学意义(P<0.05);治疗后生活质量各项评分均显著高于治疗前,差异有统计学意义(P<0.05)。结论局麻下支气管镜检查能够有效对疾病类型进行确定,从而指导临床治疗方案的选定;支气管镜下球囊扩张术能够有效改善患儿气道狭窄症状,促进其临床症状改善,从而提高生活质量,具有临床推广与应用价值。 Objective To investigate the effect and prognosis of bronchoscopy and balloon dilatation under local anesthesia in children with respiratory diseases.Methods The clinical data of 94 children with respiratory diseases admitted to our hospital from May 2014 to December 2016 were retrospectively analyzed.All patients underwent bronchoscopy under local anesthesia,and endoscopic bronchoscopic interventions were performed according to the diagnosis,including high-pressure balloon dilatation.Then observe the bronchoscopic results and compare the blood gas analysis,heart rate and quality of life score before and after treatment.Results The results of bronchoscopy showed that there were 67 cases of lung infection,15 cases of atelectasis,8 cases of recurrent cough and asthma,2 cases of bronchial foreign body and 2 cases of dysplasia.After treatment,the levels of heart rate and blood gas analysis were better than before treatment(P〈0.05).The scores of quality of life after treatment were significantly higher than before treatment(P〈0.05).Conclusion The bronchoscopy under local anesthesia can effectively determine the type of disease,which guides the selection of clinical treatment options.The bronchoscopic balloon dilatation can effectively improve the airway stenosis in children and improve their clinical symptoms,thereby improving the quality of life,which is worth clinical promotion and application.
作者 黄海波 张进峰 HUANG Haibo;ZHANG jinfeng.(The People's Hospital of Xinyi City, Xinyi 525300, Chin)
出处 《中国中西医结合儿科学》 2018年第2期124-126,共3页 Chinese Pediatrics of Integrated Traditional and Western Medicine
关键词 呼吸系统疾病 支气管镜 球囊扩张术 儿童 Respiratory diseases Bronchoscope Balloon dilatation Children
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