CAJ | 학술논문

目的：探讨重症支气管哮喘应用机械通气的临床治疗效果。方法回顾性分析我院20例重症支气管哮喘患者的临床资料，所有患者均给予常规治疗，同时采用机械通气包括有创机械通气同步间歇指令通气模式和无创正压通气NPPV治疗。结果通过采用机械通气治疗后患者的pH值、PaCO2、PaO2、气道阻力及PEF均得到较明显的改善(P<0.05或P<0.01)，具有统计学意义，所有患者均未出现并发症。结论重症支气管哮喘是严重的呼吸系统疾病，机械通气能有效降低患者的病死率和并发症的发生率，是抢救重症支气管哮喘的有效临床措施。
목적：탐토중증지기관효천응용궤계통기적림상치료효과。방법회고성분석아원20례중증지기관효천환자적림상자료，소유환자균급여상규치료，동시채용궤계통기포괄유창궤계통기동보간헐지령통기모식화무창정압통기NPPV치료。결과통과채용궤계통기치료후환자적pH치、PaCO2、PaO2、기도조력급PEF균득도교명현적개선(P<0.05혹P<0.01)，구유통계학의의，소유환자균미출현병발증。결론중증지기관효천시엄중적호흡계통질병，궤계통기능유효강저환자적병사솔화병발증적발생솔，시창구중증지기관효천적유효림상조시。
Objective To investigate the clinical effect of treatment of severe bronchial asthma by mechanical ventilation. Methods a retrospective analysis of the clinical data of 20 patients with severe bronchial asthma in our hospital, all patients were given conventional therapy, while using mechanical ventilation include invasive mechanical ventilation synchronized intermittent mandatory ventilation and noninvasive positive pressure ventilation in treatment of NPPV. Results: through the use of mechanical ventilation in the treatment of patients with pH, PaCO2, PaO2, airway resistance and PEF were signiifcantly improved (P<0.05 or P<0.01), with statistical signiifcance, all patients had complications. Conclusion severe bronchial asthma is a serious respiratory disease, mechanical ventilation can effectively reduce the mortality and morbidity of patients the incidence of clinical measures, is effective in treatment of severe bronchial asthma.