CAJ | 학술논문

目的：分析无创正压通气治疗重症支气管哮喘的临床效果。方法选择2013年12月~2014年12月在本院接受治疗的78例重症支气管哮喘患者，通过计算机随机分为研究组和对照组，对照组采取常规方法进行治疗，研究组在常规疗法的基础上联合无创正压通气进行治疗。比较两组的临床疗效。结果研究组总有效率为94.87%，高于对照组的76.92%，差异有统计学意义(P<0.05)。研究组患者呼吸频率、心率、血压、血氧分压、血二氧化碳分压、血氧饱和度等均优于对照组，差异有统计学意义(P<0.05)。结论在常规疗法的基础上联合无创正压通气治疗重症支气管哮喘的效果更加理想，可明显改善患者的症状及体征，值得在临床治疗中积极推广。
목적：분석무창정압통기치료중증지기관효천적림상효과。방법선택2013년12월~2014년12월재본원접수치료적78례중증지기관효천환자，통과계산궤수궤분위연구조화대조조，대조조채취상규방법진행치료，연구조재상규요법적기출상연합무창정압통기진행치료。비교량조적림상료효。결과연구조총유효솔위94.87%，고우대조조적76.92%，차이유통계학의의(P<0.05)。연구조환자호흡빈솔、심솔、혈압、혈양분압、혈이양화탄분압、혈양포화도등균우우대조조，차이유통계학의의(P<0.05)。결론재상규요법적기출상연합무창정압통기치료중증지기관효천적효과경가이상，가명현개선환자적증상급체정，치득재림상치료중적겁추엄。
Objective To analyze the effect of non-invasive positive pressure ventilation on treating severe bronchial asthma. Methods 78 cases of patients with severe bronchial asthma treated in our hospital from December 2013 to De-cember 2014 were selected,and were randomly divided into research group and control group by computer.Conventional method was taken to control group,non-invasive positive pressure ventilation was taken to research group on the basis of conventional therapy.The clinical efficacy of two groups was compared. Results The total effective rate in research group was 94.87%,higher than 76.92%in control group,the difference was significant (P<0.05).The respiratory rate,heart rate,blood pressure,partial pressure of blood oxygen,oxyhemoglobin saturation,and partial pressure of carbon dioxide in research group was superior to that in control group,the difference was significant (P<0.05). Conclusion On the basis of conventional therapy,combination of non-invasive positive pressure ventilation is more ideal on treating severe bronchial asthma,and can remarkably improve patient’s symptom and sign,which is worthy of positive expansion in clin-ical treatment.