当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2013年
20期
81-82
,共2页
石佳泉%徐招柱%饶广浩%黄佐才
石佳泉%徐招柱%饒廣浩%黃佐纔
석가천%서초주%요엄호%황좌재
急诊抢救%重症哮喘%呼吸衰竭%生命体征
急診搶救%重癥哮喘%呼吸衰竭%生命體徵
급진창구%중증효천%호흡쇠갈%생명체정
Emergency rescue%Severe asthma%Respiratory failure%Vital signs
目的探讨急诊抢救重症哮喘合并呼吸衰竭的临床效果。方法选取梅州市人民医院2007年4月-2012年4月收治的218例重症哮喘合并呼吸衰竭患者为研究对象,随机分为观察组与对照组,每组各109例,对照组采取常规治疗,观察组在对照组基础上给予机械通气辅助治疗,观察对比两组治疗效果。结果两组治疗后4 h的心率(HR)、呼吸频率(RR)、PaCO 2、PaO2与治疗前比较皆有明显改善,观察组改善程度更为明显(P<0.05),差异具有统计学意义。观察组长期使用茶碱类药物比例、规律使用皮质类激素比例、间断应用吸入β2激动剂比例、病死率显著低于对照组(P<0.05),差异具有统计学意义。结论常规治疗联合机械通气辅助急诊抢救重症哮喘合并呼吸衰竭临床疗效显著,缓解哮喘发作,降低病死率,最大限度地抢救患者生命,具有重要的临床应用价值。
目的探討急診搶救重癥哮喘閤併呼吸衰竭的臨床效果。方法選取梅州市人民醫院2007年4月-2012年4月收治的218例重癥哮喘閤併呼吸衰竭患者為研究對象,隨機分為觀察組與對照組,每組各109例,對照組採取常規治療,觀察組在對照組基礎上給予機械通氣輔助治療,觀察對比兩組治療效果。結果兩組治療後4 h的心率(HR)、呼吸頻率(RR)、PaCO 2、PaO2與治療前比較皆有明顯改善,觀察組改善程度更為明顯(P<0.05),差異具有統計學意義。觀察組長期使用茶堿類藥物比例、規律使用皮質類激素比例、間斷應用吸入β2激動劑比例、病死率顯著低于對照組(P<0.05),差異具有統計學意義。結論常規治療聯閤機械通氣輔助急診搶救重癥哮喘閤併呼吸衰竭臨床療效顯著,緩解哮喘髮作,降低病死率,最大限度地搶救患者生命,具有重要的臨床應用價值。
목적탐토급진창구중증효천합병호흡쇠갈적림상효과。방법선취매주시인민의원2007년4월-2012년4월수치적218례중증효천합병호흡쇠갈환자위연구대상,수궤분위관찰조여대조조,매조각109례,대조조채취상규치료,관찰조재대조조기출상급여궤계통기보조치료,관찰대비량조치료효과。결과량조치료후4 h적심솔(HR)、호흡빈솔(RR)、PaCO 2、PaO2여치료전비교개유명현개선,관찰조개선정도경위명현(P<0.05),차이구유통계학의의。관찰조장기사용다감류약물비례、규률사용피질류격소비례、간단응용흡입β2격동제비례、병사솔현저저우대조조(P<0.05),차이구유통계학의의。결론상규치료연합궤계통기보조급진창구중증효천합병호흡쇠갈림상료효현저,완해효천발작,강저병사솔,최대한도지창구환자생명,구유중요적림상응용개치。
Objective To observe and analyze the emergency department with severe asthma and respiratory failure clinical effects. Methods Our hospital from April 2007 to April 2012 218 cases of patients with severe asthma with respiratory failure, divided into observation group and control group, each with 109 cases in the control group taking conventional treatment, the observation group in the control group on the basis of mechanical ventilation adjuvant therapy were observed in both groups in treatment effect. Results After treatment, 4 h, heart rate (HR), respiratory frequency (RR), PaCO 2, PaO 2 before treatment comparison are obviously improved, more obvious improvement of the observation group (P<0.05), with statistical signiifcance. The the observation group long-term use of theophylline proportion of drugs, regular use of corticosteroid hormones proportion intermittent use of inhaled β2 agonists proportion, mortality was significantly lower than the control group (P<0.05), with statistical signiifcance. Conclusion The conventional treatment with mechanical ventilation auxiliary emergency rescue severe asthma with respiratory failure clinical efifcacy signiifcantly relieve asthma attacks and reduce mortality, to save the lives of patients has important clinical value.