邱在军 林婷 邱荣军 吴丹遐 陈健青

    【摘要】 目的：分析支氣管镜术在儿童肺炎支原体肺炎伴气道内黏液栓治疗中的应用效果。方法：选取2019年1月-2020年10月于本院接受治疗的90例儿童肺炎支原体肺炎伴气道内黏液栓患儿作为研究对象，采用抽签法将其分为观察组和对照组，各45例。对照组采用常规治疗，观察组在对照组基础上采用支气管镜术治疗。对比两组临床症状消失时间，治疗前和治疗7 d后炎症反应指标[白介素-6(IL-6)、C反应蛋白(CRP)、肿瘤坏死因子α(TNF-α)]及肺功能指标[第1秒用力呼气容积(FEV1)、用力肺活量(FVC)]。结果：观察组肺部啰音、咳嗽、发热消失时间均短于对照组，差异均有统计学意义(P<0.05)。相较于治疗前，两组治疗7 d后的血清CRP、IL-6、TNF-α水平均降低，FEV1、FVC均升高，且观察组上述指标均优于对照组，差异均有统计学意义(P<0.05)。结论：支气管镜术可缩短儿童肺炎支原体肺炎伴气道内黏液栓患儿临床症状消失时间，降低炎症指标水平，提升患儿的肺功能。

    【关键词】 肺炎支原体肺炎 气道内黏液栓 支气管镜术 炎症反应 肺功能

    Application of Bronchoscopy in the Treatment of Mycoplasma Pneumoniae Pneumonia with Airway Mucus Embolus in Children/QIU Zaijun， LIN Ting， QIU Rongjun， WU Danxia， CHEN Jianqing. //Medical Innovation of China， 2021， 18(16)： 0-077

    [Abstract] Objective： To analyze the application effect of bronchoscopy in the treatment of mycoplasma pneumoniae pneumonia with airway mucus embolus in children. Method： A total of 90 children with mycoplasma pneumoniae pneumonia complicated with airway mucus embolus treated in our hospital from January 2019 to October 2020 were selected as the research objects. They were divided into observation group and control group by lotting ......