中国当代儿科杂志2024，Vol.26Issue(1)：31-36,6.DOI:10.7499/j.issn.1008-8830.2308013
支气管肺泡灌洗联合俯卧位治疗儿童肺炎支原体肺炎伴肺不张疗效的前瞻性随机对照研究
Efficacy of bronchoalveolar lavage combined with prone positioning in children with Mycoplasma pneumoniae pneumonia and atelectasis:a prospective randomized controlled study
萨日娜 1王爱琼 1高有汉 2李晓安 1呼格吉乐图3
作者信息
- 1. 鄂尔多斯市中心医院普儿科,内蒙古鄂尔多斯 017000
- 2. 鄂尔多斯市中心医院普儿科,内蒙古鄂尔多斯 017000||内蒙古医科大学研究生学院,内蒙古呼和浩特 010059
- 3. 鄂尔多斯市中心医院康复科,内蒙古鄂尔多斯 017000
- 折叠
摘要
Abstract
Objective To study the efficacy of bronchoalveolar lavage(BAL)combined with prone positioning in children with Mycoplasma pneumoniae pneumonia(MPP)and atelectasis and its effect on pulmonary function.Methods A prospective study was conducted on 94 children with MPP and atelectasis who were hospitalized in Ordos Central Hospital of Inner Mongolia from November 2020 to May 2023.The children were randomly divided into a treatment group and a control group,with 47 children in each group.The children in the treatment group were given conventional treatment,BAL,and prone positioning,and those in the control group were given conventional treatment and BAL.The two groups were compared in terms of fever,pulmonary signs,length of hospital stay,lung recruitment,and improvement in pulmonary function.Results Compared with the control group,the treatment group had significantly shorter time to improvement in pulmonary signs and length of hospital stay and a significantly higher rate of lung recruitment on day 7 of hospitalization,on the day of discharge,and at 1 week after discharge(P<0.05).Compared with the control group,the treatment group had significantly higher levels of forced vital capacity(FVC)as a percentage of the predicted value,forced expiratory volume(FEV)in 1 second as a percentage of the predicted value,ratio of FEV in 1 second to FVC,forced expiratory flow at 50%of FVC as a percentage of the predicted value,forced expiratory flow at 75%of FVC as a percentage of the predicted value,and maximal mid-expiratory flow as a percentage of the predicted value on the day of discharge and at 1 week after discharge(P<0.05).There was no significant difference in the time for body temperature to return to normal between the two groups(P>0.05).Conclusions In the treatment of children with MPP and atelectasis,BAL combined with prone positioning can help to shorten the time to improvement in pulmonary signs and the length of hospital stay and promote lung recruitment and improvement in pulmonary function.关键词
肺炎支原体肺炎/支气管肺泡灌洗/俯卧位/肺不张/儿童Key words
Mycoplasma pneumoniae pneumonia/Bronchoalveolar lavage/Prone positioning/Atelectasis/Child引用本文复制引用
萨日娜,王爱琼,高有汉,李晓安,呼格吉乐图..支气管肺泡灌洗联合俯卧位治疗儿童肺炎支原体肺炎伴肺不张疗效的前瞻性随机对照研究[J].中国当代儿科杂志,2024,26(1):31-36,6.
