摘要
目的 探讨呼吸机在重症哮喘救治中的疗效.方法 回顾性分析42例重症哮喘患者经气管插管或序贯无创通气救治前后呼吸指标、动脉血气、以及带呼吸机时间、住院时间等指标的变化.结果 全部患者经呼吸机治疗后,心率、呼吸频率、二氧化碳分压明显降低,氧饱和度、pH、氧分压明显升高,差异均有统计学意义（P〈0.05）.对于进一步序贯无创机械通气治疗的患者,其有创通气、总机械通气、住院时间、呼吸机相关性肺炎（VAP）发生率均降低（P〈0.05）.结论 及时、恰到好处的对重症哮喘患者实施呼吸支持,抢救成功率高,预后好,是一种有效的治疗策略.同时,有效的无创通气序贯治疗也获得肯定疗效,是具有一定临床实用价值的有效脱机方案.
Objective To investigate the therapeutic efficacy of ventilator in treatment of severe bronchial asthma. Methods 42 patients suffered from severe bronchial asthma, 23 males and 19 females, underwent mechanical-assisted ventilation. The changes of respiratory parameters and blood pressure, time of using ventilator, length of stay were analyzed. Result 1.The respiratory parameters and blood pressure were improved after treatment of ventilator. The HR, RR and PaCO showed lower （P〈0.05）, and the SaO2, PH, PaO2 were higher （P〈0.05）. 2. For further sequential noninvasive mechanical ventilation in the treatment of patients, invasive ventilation, the total mechanical ventilation, length of stay, ventilator-associated pneumonia（VAP）incidence rate decreased （P〈0.05）. Conclusion The timely and right on respiratory support plays a key role in rescuing the patients suffering from severe bronchial asthma. At the same time, an effective sequential therapy of noninvasive ventilation had positive effect, and had been considered to be an effective offline program for clinical practice.
出处
《中国急救复苏与灾害医学杂志》
2011年第11期960-962,共3页
China Journal of Emergency Resuscitation and Disaster Medicine
关键词
支气管哮喘
重症
呼吸机
Bronchial Asthma
Severe
Ventilator
