CAJ | 학술논문

目的：对无创正压通气治疗重症支气管哮喘的临床效果进行评述，分析其临床特点。方法选择2013年3月-2014年3月该院收治的160例重症支气管哮喘患者作为该研究的对象，随机将其分成实验组和对照组，每组80例。对照组患者给予常规的西医治疗，实验组患者在对照组治疗的基础上进行无创正压通气治疗，治疗结束后，对比两组患者的治疗效率及治疗后的心率、动脉血PH、PaCO2(动脉血二氧化碳分压)、PaO2(动脉血氧分压)等。结果实验组患者的治疗总有效率为87.50%，对照组患者的治疗总有效率为66.25%，实验组患者的治疗总有效率高于对照组患者，差异有统计学意义(P<0.05)；实验组患者治疗后的动脉血PH、PaCO2、PaO2等临床指标均优于对照组患者，差异有统计学意义(P<0.05)。结论无创正压通气治疗重症支气管哮喘患者具有显著的临床意义，可以有效改善患者的临床症状，提高患者的治疗效率，推动患者的健康恢复，故该治疗模式值得在临床实践过程中大力推广和借鉴。
목적：대무창정압통기치료중증지기관효천적림상효과진행평술，분석기림상특점。방법선택2013년3월-2014년3월해원수치적160례중증지기관효천환자작위해연구적대상，수궤장기분성실험조화대조조，매조80례。대조조환자급여상규적서의치료，실험조환자재대조조치료적기출상진행무창정압통기치료，치료결속후，대비량조환자적치료효솔급치료후적심솔、동맥혈PH、PaCO2(동맥혈이양화탄분압)、PaO2(동맥혈양분압)등。결과실험조환자적치료총유효솔위87.50%，대조조환자적치료총유효솔위66.25%，실험조환자적치료총유효솔고우대조조환자，차이유통계학의의(P<0.05)；실험조환자치료후적동맥혈PH、PaCO2、PaO2등림상지표균우우대조조환자，차이유통계학의의(P<0.05)。결론무창정압통기치료중증지기관효천환자구유현저적림상의의，가이유효개선환자적림상증상，제고환자적치료효솔，추동환자적건강회복，고해치료모식치득재림상실천과정중대력추엄화차감。
Objective To review the clinical efficacy of noninvasive positive pressure ventilation in the treatment of severe bronchial asthma and analyze its clinical features. Methods 160 cases of severe bronchial asthma patients in 2013 March to 2014 March in our hospital were selected as the research object and randomly divided into experimental group and control group, 80 cases in each group. Patients in control group were treated with conventional western medicine treatment, while those in the exper-imental group based on the control group treatment of noninvasive positive pressure ventilation therapy. After the treatment, the treatment efficiency, the heart rate, arterial blood PH, PaCO2 (PaCO2), PaO2 (PaO2) etc of the two groups were compared. Results The total efficiency of the experimental group, 87.50%, was obviously higher than that of the treatment group, 66.25%, and the difference was statistically significant (P<0.05);the experimental group patients after arterial blood PH, PaCO2, PaO2 and other clin-ical indicators are better than patients in the control group (P<0.05), the difference was statistically significant. Conclusion Nonin-vasive positive pressure ventilation in treatment of patients with severe bronchial asthma has significant clinical meaning and can effectively improve the clinical symptoms of patients improve patient treatment efficiency and promote the health of patients recov-ered. So it is worth popularizing and using for reference in clinical practice.