关键词: 支气管异物, 硬质支气管镜, 支气管灌洗治疗, 儿童

Abstract:
Objective
To explore the clinical effect of two methods in the treatment of bronchial plant foreign body in children: simple rigid bronchoscope and bronchoscopy combined with bronchial lavage.
Methods
From October 2014 to December 2015, 79 children with bronchial plant foreign bodies treated in Hunan Children's Hospital were selected as the subjects. According to different clinical treatments, there were 40 cases in the observation group and 39 cases in the control group. The control group was treated with the removal under rigid bronchoscope, and the observation group was treated with bronchial lavage combined with bronchoscope. The time of disappearance of the main symptoms, the mean time of hospitalization and the clinical effect were observed and compared between the two groups.
Results
The disappearance time of shortness of breath (or wheezing), cough and moist rales in the observation group was significantly shorter than that in the control group (P<0.05). The mean hospitalization time of the observation group was (4.15±1.41) days, which was significantly shorter than that of the control group (6.16±1.84) days, and the difference was statistically significant (P<0.05). The effective rate of the observation group was 75.0% (30/40), which was significantly higher than that of the control group (38.4% ,15/39), and the difference was statistically significant (P<0.05).
Conclusion
The treatment for bronchial plant foreign bodies in children with rigid bronchoscope combined with bronchial lavage has good clinical effect; the clinical symptoms and signs of children disappear quickly, and the recovery process is short, so it's worth clinical application.

Key words: Bronchial foreign body, Rigid bronchoscope, Bronchial lavage therapy, Child