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无创双水平正压通气联合氧疗对重症支气管哮喘患者血气指标及肺功能的影响 被引量:5

Effects of Noninvasive Bi-level Positive Pressure Ventilation Combined with Oxygen Therapy on Blood Gas Indexes and Pulmonary Function in Patients with Severe Bronchial Asthma
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摘要 目的:探讨无创双水平正压通气联合氧疗对重症支气管哮喘患者血气指标及肺功能的影响。方法:选取2018年1月~2019年12月接受治疗的104例重症支气管哮喘患者为研究对象,随机分为对照组和观察组,每组52例。对照组采用药物+氧疗方式治疗,观察组在对照组基础上联合无创双水平正压通气。对比两组患者血气指标和肺功能。结果:治疗7 d后,观察组动脉血氧分压及肺功能指标水平均高于对照组,动脉二氧化碳分压低于对照组,差异有统计学意义(P<0.05)。结论:无创双水平正压通气联合氧疗能显著改善重症支气管哮喘患者血气指标,利于提升患者肺功能,临床应用效果较好。 Objective: To investigate the effects of noninvasive bi-level positive pressure ventilation combined with oxygen therapy on blood gas indexes and pulmonary function in patients with severe bronchial asthma. Methods: 104 patients with severe bronchial asthma who treated in the hospital from January 2018 to December 2019 were randomly divided into two groups, with 52 cases in each group. Control group was given drug and oxygen therapy, and observation group combined noninvasive bi-level positive pressure ventilation on the basis of the control group. The blood gas indexes and pulmonary function were compared between two groups. Results:After 7 days of treatment, the levels of arterial partial pressure of oxygen and pulmonary function indexes in observation group were higher than those in the control group, and the partial pressure of carbon dioxide in observation group was lower than that in the control group(P<0.05). Conclusion: Noninvasive bi-level positive pressure ventilation combined with oxygen therapy in patients with severe bronchial asthma can improve blood gas indexes and improve pulmonary function, which has better clinical application effect.
作者 张晓娟 ZHANG Xiao-juan(The First Affiliated Hospital of Henan University of Science and Technology,Henan,Luoyang471003)
出处 《实用中西医结合临床》 2021年第11期1-2,5,共3页 Practical Clinical Journal of Integrated Traditional Chinese and Western Medicine
基金 河南省医学科技攻关计划资助项目(编号:201602192)。
关键词 重症支气管哮喘 无创双水平正压通气 氧疗 血气指标 肺功能 Severe bronchial asthma Noninvasive bi-level positive pressure ventilation Oxygen therapy Blood gas indexes Pulmonary function
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