摘要
目的探讨机械通气治疗重症支气管哮喘的临床疗效。方法选取2014年2月—2015年2月丰城市人民医院收治的重症支气管哮喘患者84例,随机分为对照组与试验组,各42例。对照组患者予以综合治疗,试验组患者在对照组基础上予以机械通气治疗。观察两组患者治疗前后动脉血气指标(SPO2、p H值、Pa CO2、Pa O2)、呼吸频率、心率、临床疗效及并发症发生情况。结果治疗前两组患者SPO2、p H值、Pa CO2、Pa O2、呼吸频率、心率比较,差异无统计学意义(P>0.05),治疗后观察组患者SPO2、p H值、Pa O2高于对照组,Pa CO2、呼吸频率、心率低于对照组,差异有统计学意义(P<0.05);试验组患者总有效率高于对照组,差异有统计学意义(P<0.05);两组患者均未发生严重并发症。结论机械通气治疗重症支气管哮喘的临床疗效显著,可改善患者临床症状,且并发症少。
Objective To explore the effect of mechanical ventilation in treating severe bronchial asthma. Methods A total of 84 patients with severe bronchial asthma were selected in the People's Hospital of Fengcheng from February 2014 to February 2015,they were divided into control group and experimental group,42 cases in each group. Control group were given comprehensive treatment,experimental group were given mechanical ventilation treatment on the basis of control group. Before and after treatment,arterial blood gas index(SPO2 ,pH value,PaCO2 ,PaO2 ),respiratory rate,heart rate,clinical effect and occurrence of complications between the two groups were compared. Results Befpre treatment,PaO2 ,pH value,PaCO2 , SPO2 ,respiratory rate,heart rate showed no significant differences between the two groups( P > 0. 05);after treatment, PaO2 ,pH value,PaCO2 ,SPO2 ,respiratory rate of experimental group were higher than those of control group,heart rate of experimental group was lower than that of control group(P < 0. 05);the total effective rate of experimental group was higher than that of control group(P < 0. 05);no one of the two groups occurred serious complications. Conclusion Mechanical ven-tilation has notable curative effect in the treatment of severe bronchial asthma,can improve the clinical symptoms,and fewer complications.
出处
《临床合理用药杂志》
2015年第36期111-112,共2页
Chinese Journal of Clinical Rational Drug Use
关键词
哮喘
呼吸
人工
治疗结果
Asthma
Respiration,artificial
Treatment outcome
