中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2014年
18期
171-172
,共2页
甲泼尼松龙%重症哮喘%院前抢救%疗效
甲潑尼鬆龍%重癥哮喘%院前搶救%療效
갑발니송룡%중증효천%원전창구%료효
Meprednisone%Severe asthma%Pre-hospital care%Efficacy
目的：评价甲泼尼松龙在重症哮喘急性发作院前抢救中的应用价值。方法选取2012年7月~2013年9月本院接诊的重症哮喘急性发作患者77例，在到达救治现场后迅速给予甲泼尼松龙注射，观察和比较患者救治前、上救护车后和到达医院时的呼吸频率、心率和临床疗效评分。结果患者救治前呼吸频率为(31.9±7.1)/min、心率为(137.1±9.8)/min、临床症状评分为(9.2±1.1)分，上救护车后呼吸频率为(26.7±5.2)/min、心率为(118.8±8.4)/min、临床症状评分为(7.5±0.9)分，到达医院时呼吸频率为(22.8±4.4)/min、心率为(104.8±5.6)/min、临床症状评分为(6.3±1.0)分；患者上救护车后和到达医院时的呼吸频率、心率、临床症状评分与救治前比较，差异有统计学意义(P<0.05)。结论甲泼尼松龙在重症哮喘急性发作院前抢救中的应用价值高，能有效提高患者的呼吸效率，解除缺氧症状，值得临床推广应用。
目的：評價甲潑尼鬆龍在重癥哮喘急性髮作院前搶救中的應用價值。方法選取2012年7月~2013年9月本院接診的重癥哮喘急性髮作患者77例，在到達救治現場後迅速給予甲潑尼鬆龍註射，觀察和比較患者救治前、上救護車後和到達醫院時的呼吸頻率、心率和臨床療效評分。結果患者救治前呼吸頻率為(31.9±7.1)/min、心率為(137.1±9.8)/min、臨床癥狀評分為(9.2±1.1)分，上救護車後呼吸頻率為(26.7±5.2)/min、心率為(118.8±8.4)/min、臨床癥狀評分為(7.5±0.9)分，到達醫院時呼吸頻率為(22.8±4.4)/min、心率為(104.8±5.6)/min、臨床癥狀評分為(6.3±1.0)分；患者上救護車後和到達醫院時的呼吸頻率、心率、臨床癥狀評分與救治前比較，差異有統計學意義(P<0.05)。結論甲潑尼鬆龍在重癥哮喘急性髮作院前搶救中的應用價值高，能有效提高患者的呼吸效率，解除缺氧癥狀，值得臨床推廣應用。
목적：평개갑발니송룡재중증효천급성발작원전창구중적응용개치。방법선취2012년7월~2013년9월본원접진적중증효천급성발작환자77례，재도체구치현장후신속급여갑발니송룡주사，관찰화비교환자구치전、상구호차후화도체의원시적호흡빈솔、심솔화림상료효평분。결과환자구치전호흡빈솔위(31.9±7.1)/min、심솔위(137.1±9.8)/min、림상증상평분위(9.2±1.1)분，상구호차후호흡빈솔위(26.7±5.2)/min、심솔위(118.8±8.4)/min、림상증상평분위(7.5±0.9)분，도체의원시호흡빈솔위(22.8±4.4)/min、심솔위(104.8±5.6)/min、림상증상평분위(6.3±1.0)분；환자상구호차후화도체의원시적호흡빈솔、심솔、림상증상평분여구치전비교，차이유통계학의의(P<0.05)。결론갑발니송룡재중증효천급성발작원전창구중적응용개치고，능유효제고환자적호흡효솔，해제결양증상，치득림상추엄응용。
Objective To evaluate the application value of meprednisone in pre-hospital care for acute attack with se-vere asthma. Methods Seventy-seven cases of patients with acute attack of severe asthma in our hospital from July 2012 to September 2013 were selected.They were promptly injected with meprednisone by ambulance personnel who re-sponded to the scene.The respiratory rate(RR),heart rate(HR)and clinical efficacy score before rescue,in ambulance and on arriving at hospital was observed and compared respectively. Results Before rescue,the RR was (31.9±7.1)times per minute,HR was(137.1±9.8)times per minute and the score of clinical symptom was(9.2±1.1)points.The RR,HR,and score of clinical symptom in ambulance was(26.7±5.2)times per minute,(118.8±8.4)times per minute and(7.5±0.9)points re-spectively.When arriving at hospital,RR,HR,and score of clinical symptom was(22.8±4.4)times per minutes,(104.8±5.6)times per minute,and (6.3±1.0)points respectively.The value of RR,HR and clinical symptom score before rescue compared with that in ambulance or arriving at hospital respectively,with statistical difference (P<0.05). Conclusion With a high application value of meprednisone in pre-hospital care for acute attack with severe asthma,it can effectively improve patient’s efficiency of respiratory and relieve anoxic symptom,which is worthy of expansion and application in clinic.
