首页|电子支气管镜治疗儿童重症支原体肺炎对气道粘膜状态、免疫功能和炎症指标的影响

电子支气管镜治疗儿童重症支原体肺炎对气道粘膜状态、免疫功能和炎症指标的影响

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目的:探究电子支气管镜治疗儿童重症支原体肺炎对气道粘膜状态、免疫功能和炎症指标的影响.方法:选取 2022 年 10 月—2023 年 10 月丽江市人民医院收治的 40 例儿童重症支原体肺炎患者作为研究对象,采用猜拳法分为联合组(n=20)和常规组(n=20).常规组患儿采用抗感染、机械通气等常规治疗,联合组患儿在常规组基础上联合电子支气管镜治疗.比较两组患儿气道粘膜状态、免疫功能、炎症指标和临床疗效情况.结果:治疗后,常规组患儿气道粘膜状态中纵行皱褶和管腔闭塞情况有所改善,差异有统计学意义(P<0.05);联合组患儿气道粘膜状态均有所改善,且改善程度均优于常规组,差异有统计学意义(P<0.05);治疗后,两组患儿CD3+、CD4+、CD4+/CD8+均升高,且联合组高于常规组,差异有统计学意义(P<0.05);两组患儿CD8+均降低,且联合组低于常规组,差异有统计学意义(P<0.05);治疗后,两组患儿TNF-α、IL-6、IL-8 均降低,且联合组低于常规组,差异有统计学意义(P<0.05);联合组临床疗效总有效率(90.00%)高于常规组(60.00%),差异有统计学意义(P<0.05).结论:对重症支原体肺炎患儿给予电子支气管镜治疗可有效改善气道粘膜状态、增强免疫功能、减轻炎症反应.
The Effects of Electronic Bronchoscopy on the Airway Mucosal Status,Immune Function and Inflammatory Markers in Severe Pediatric Mycoplasma Pneumonia
Objective:Exploring the effects of electronic bronchoscopy treatment on the airway mucosal status,immune function,and inflammatory markers in critically ill children with Mycoplasma pneumonia.Method:From January 2022 to October 2023,40 children with severe Mycoplasma pneumonia treated in the hospital were selected as study objects and devided into a combination hroup and comventional group by finger-guessing game,with 20 cases in each group.The children of conventional group received conventional treatments,such as anti infection and mechanical ventilation,while the children of combination group received electronic bronchoscopy treatment on the basis of the conventional group.The airway mucosal status,immune function,inflammatory markers,and clinical efficacy were compared between the two groups.Result:After treatment,the longitudinal folds and occlusion of the airway mucosa in the conventional group were in a better state(P<0.05).While in the combined group,the airway mucosal status was also in a better state,and the degree of improvement was better than that in the conventional group(P<0.05).After treatment,the levels of CD3+,CD4+,and CD4+/CD8+in both groups were increasing,and the combined group was higher than the conventional group(P<0.05).The levels of CD8+in both groups were decreasing,and the combined group was lower than the conventional group(P<0.05).After treatment,TNF-α,IL-6 and IL-8 of the two groups were reducing,and the combined group was lower than the conventional group(P<0.05).The total effective rate of clinical efficacy in the combination group was 90.00%,which was higher than 60.00%in the conventional group(P<0.05).Conclusion:It can effectively improve airway mucosal status,enhance immune function,and reduce inflammation to use electronic bronchoscopy treatment for children with severe Mycoplasma pneumonia.

Mycoplasma pneumoniae pneumoniaElectronic bronchoscopeAirway mucosal statusCellular immunityInflammatory factors

杨红、和石圣、龚卉、杨婷

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丽江市人民医院 云南 丽江 674100

重庆医科大学附属儿童医院

儿童重症支原体肺炎 电子支气管镜 气道粘膜状态 细胞免疫 炎症因子

丽江市科技计划项目

2022LJSHFZ020

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(21)