重症哮喘并发呼吸衰竭患者急诊抢救的临床研究.docVIP

精品论文 参考文献 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（Plt;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（Plt;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）。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，具有很好的临床推广意义。 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 treatment of respiratory rate, heart rate, blood pressure, arterial carbon dioxide partial pressure, blood PH, drug use and asthma cases. Results After treatment respiratory rate, heart rate, blood pressure, arterial carbon 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 significantly less than the control group, the difference comparison statistically significant (P lt;0.05); asthma remission observation group than the control group, the difference was statistically significant comparison (P lt;0.05); two groups of patients before and after treatment of blood PH little change, the difference was not statistically significant (Pgt; 0.05). Conclusions mechanical ventilation can improve severe asthma with res