重症哮喘并发呼吸衰竭患者急诊抢救的临床研究.docVIP

重症哮喘并发呼吸衰竭患者急诊抢救的临床研究 1内蒙古包钢医院急诊医学科内蒙 包头014012内蒙古包钢医院急诊医学科内 蒙包头014010 摘要目的探究重症哮喘并发呼吸衰竭患者的临床急诊抢救的效果，为进一步推 广提供理论支持。方法选取2014年12月至2016年1月在我院收治的100例重 症哮喘并发呼吸衰竭患者，随机分成对照组及观察组，每组患者50例，对照组 采用常规治疗方法，观察组在对照组基础上给予机械通气，对比两组患者治疗前 后呼吸频率、心率、动脉血氧分压、动脉血二氧化碳分压、血液PH、药物使用 情况及患者哮喘情况。结果两组患者治疗后呼吸频率、心率、动脉血氧分压、 动脉血二氧化碳分压较治疗前均显著改善，观察组患者改善情况优于对照组，药 物使用比例显著少于对照组，差异比较具有统计学意义(Pt;0.05)；观察组哮 喘缓解情况优于对照组，差异比较具有统计学意义(Pt;0.05)；而两组患者治 疗前后血液PH变化不大，差异比较无统计学意义(Pgt;0.05)o结论机械通气 治疗能够提高重症哮喘并发呼吸衰竭患者的临床治疗效果，具有很好的临床推丿 意义。 关键词：重症哮喘并发呼吸衰竭；急诊；机械通气 【中图分类号】R969.4【文献标识码】A【文章编号】1001-5213(2016)09-0106-02 Abstract Objective To investigate severe asthma with respiratory failure in patients with clinical emergency rescue effect, provide theoretical support for the further promotion. Methods from December 2014 to January 2016 in our hospital 100 cases of severe asthma with respiratory failure were randomly divided into a control group and the observation group, 50 patients in each group, the control group with conventional treatment, we observed in the control group administered group on the basis of mechanical ventilation, compared two groups of patients before and after treatme nt of respiratory rate, heart rate, blood pressure, arterial carb on dioxide partial pressure, blood PH, drug use and asthma cases. Results After treatment respiratory rate, heart rate, blood pressure, arterial carb on dioxide pressure before treatment were significantly improved compared with the observation group than the control group of patients to improve the situation, the proportion of drug use was sign ifica ntly less tha n the con trol group, the d iff ere nee comparis on statistically significant (P lt;0.05); asthma remission observation group than the control group, the d iff ere nee was statistically sign 讦 icant comparis on (P lt;0.05); two groups of patients before and after treatment of blood PH little change, the differenee was not statistically sign讦icant (Pgt; 0.05). Conclusions mechanical ventilation can improve severe asthma w