CAJ | 학술논문

目的：探讨BiPAP无创正压通气在院前急救中的应用并评价其效果。方法选取院前急救中AECOPD、AHF、ARDS和重症支气管哮喘患者108例，按数字随机法将患者分为BiPAP治疗组和常规治疗组，各54例。分析两组患者治疗前后呼吸、心率、血气分析、血液动力学参数变化及疗效。结果治疗后BiPAP治疗组呼吸、心率、血气分析以及血液动力学控制均优于常规治疗组（P<0.05）。BiPAP治疗组的治疗有效率（92.59%）明显优于常规经鼻管道通气法的治疗有效率（70.37%）。结论在院前急救中应用BiPAP治疗可快速缓解症状，提高治疗有效率，值得临床推广应用。
목적：탐토BiPAP무창정압통기재원전급구중적응용병평개기효과。방법선취원전급구중AECOPD、AHF、ARDS화중증지기관효천환자108례，안수자수궤법장환자분위BiPAP치료조화상규치료조，각54례。분석량조환자치료전후호흡、심솔、혈기분석、혈액동역학삼수변화급료효。결과치료후BiPAP치료조호흡、심솔、혈기분석이급혈액동역학공제균우우상규치료조（P<0.05）。BiPAP치료조적치료유효솔（92.59%）명현우우상규경비관도통기법적치료유효솔（70.37%）。결론재원전급구중응용BiPAP치료가쾌속완해증상，제고치료유효솔，치득림상추엄응용。
Objective To investigate the usage of BiPAP noninvasive positive pressure ventilation in pre-hospital first aid and the effect. Methods A total of 108 patients with any of the following diseases, AECOPD,AHF,ARDS and se-vere bronchial asthma were selected and divided into BiPAP treatment group and routine treatment group according to digital randomized method. Each group included 54 patients. Breath, heart rate, blood gas analysis, changes in hemo-dynamic parameters of two groups before and after treatment and curative effecty were analyzed. Results After treat-ment, breath, heart rate, blood gas analysis, hemodynamic parameters of BiPAP treatment group were better con-trolled than that of conventional treatment group (P < 0.05). The total effective rate of BiPAP treatment group was 92.59%, which was significantly higher than that of the conventional treatment group (P< 0.05). Conclusion The ap-plication of BiPAP in pre-hospital emergency treatment can quickly relieve symptoms and increase curative effect. It is worthy of using widely in clinical treatment.