国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2011年
14期
1711-1713
,共3页
无创正压通气%重度哮喘%血气分析%肺功能
無創正壓通氣%重度哮喘%血氣分析%肺功能
무창정압통기%중도효천%혈기분석%폐공능
Noninvasive positive pressure ventilation (NIPPV)%Severe asthma%Gas analysis results%Pulmonary function
目的 评估无创正压通气对重度哮喘的治疗效果.方法 对比分析无创正压通气与鼻导管吸氧对重度哮喘患者血气分析结果及肺功能的影响.结果 无创正压通气组患者总体有效率(30/36)优于鼻导管吸氧组(14/37),差异有极显著性(JP＜0.01);无创正压通气组患者SaO2及PaO2分别为(94.16±4.05)%、(83.01±4.88)%,均显著高于鼻导管吸氧组,差异均有极显著性(P＜0.01),其PaCO2下降至(39.42±3.21),亦显著多于鼻导管吸氧组(P＜0.01);无创正压通气组患者PEF及FEV1改善程度均显著好于鼻导管吸氧组患者(P＜0.01).结论 无创正压通气能迅速改善重度哮喘患者血气分析结果及肺功能.
目的 評估無創正壓通氣對重度哮喘的治療效果.方法 對比分析無創正壓通氣與鼻導管吸氧對重度哮喘患者血氣分析結果及肺功能的影響.結果 無創正壓通氣組患者總體有效率(30/36)優于鼻導管吸氧組(14/37),差異有極顯著性(JP＜0.01);無創正壓通氣組患者SaO2及PaO2分彆為(94.16±4.05)%、(83.01±4.88)%,均顯著高于鼻導管吸氧組,差異均有極顯著性(P＜0.01),其PaCO2下降至(39.42±3.21),亦顯著多于鼻導管吸氧組(P＜0.01);無創正壓通氣組患者PEF及FEV1改善程度均顯著好于鼻導管吸氧組患者(P＜0.01).結論 無創正壓通氣能迅速改善重度哮喘患者血氣分析結果及肺功能.
목적 평고무창정압통기대중도효천적치료효과.방법 대비분석무창정압통기여비도관흡양대중도효천환자혈기분석결과급폐공능적영향.결과 무창정압통기조환자총체유효솔(30/36)우우비도관흡양조(14/37),차이유겁현저성(JP＜0.01);무창정압통기조환자SaO2급PaO2분별위(94.16±4.05)%、(83.01±4.88)%,균현저고우비도관흡양조,차이균유겁현저성(P＜0.01),기PaCO2하강지(39.42±3.21),역현저다우비도관흡양조(P＜0.01);무창정압통기조환자PEF급FEV1개선정도균현저호우비도관흡양조환자(P＜0.01).결론 무창정압통기능신속개선중도효천환자혈기분석결과급폐공능.
Objective To evaluate the effects of noninvasive positive pressure ventilation (NIPPV) on severe asthma patients. Methods Comparison of blood gas analysis results and pulmonary function was made between NIPPV group and nasal tube oxygen inhalation group. Results The general effective rate and the improvement of SaO2and PaO2 of NIPPV group were significantly better than those in nasal tube oxygen inhalation group (x2=15.773,P=0.001; t=3.528,P=0.001;t=12.554, P=0.000) while PaCO2 dropped much (t=5.874, P=0.000). The PEF and FEV1 of positive airway pressure ventilation group also improved better than those in nasal tube oxygen inhalation group (r=1.952, P=0.048; t=5.644,P=0.000). Conclusion NIPPV can effectively improve the blood gas analysis results and pulmonary function of severe asthma patients.
