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无创正压机械通气治疗支气管哮喘急性发作合并呼吸衰竭的临床疗效 被引量:12

Noninvasive Clinical Efficacy of Acute Bronchial Asthma with Respiratory Failure Positive Pressure Ventilation Therapy
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摘要 目的:对无创正压机械通气治疗支气管哮喘急性发作合并呼吸衰竭的临床效果进行探讨。方法:从我院抽取64例支气管哮喘急性发作合并呼吸衰竭患者作为研究对象,将其随机分为两组,分别予以纳洛酮和多索茶碱联合治疗(对照组)与无创呼吸机持续正压通气治疗(研究组),每组32例。比较两组患者在治疗后动脉血气指标和体征改善情况以及总有效率。结果:研究组经治疗后的动脉血气指标和临床体征改善情况均优于对照组,两组差异具有统计学意义(P<0.05);研究组的总有效率为96.88%,对照组的75.00%,两组差异具有统计学意义(P<0.05)。结论:利用无创正压机械通气治疗支气管哮喘急性发作合并呼吸衰竭的临床效果显著,能够有效改善患者的动脉血气指标和症状体征,改善患者的呼吸功能。 Objective:Noninvasive positive pressure ventilation for treatment of acute asthma attack and respiratory failure clinical results were discussed.Methods:Extracting 64 cases of acute bronchial asthma with respiratory failure patients from hospital as research subjects were randomly divided into two groups,be naloxone and Dosso theophylline combination therapy(control group),respectively,and non-invasive ventilation CPAP ventilation therapy(study group),the number of cases in each group were 32 cases.Comparison of two groups of patients after treatment and signs of arterial blood gas improvement and total efficiency.Results:Study group improved by arterial blood gas and clinical signs after treatment cases than the control group,the difference was significant,P〈0.05;the total effective rate of 96.88% of the study group,the control group was 75.00%,the difference significant,P〈0.05.Conclusion:The use of noninvasive positive pressure ventilation in the treatment of acute bronchial asthma with respiratory failure is a significant clinical effect,can effectively improve the patient's arterial blood gas indicators and signs and symptoms,improve respiratory function in patients.
作者 韩海峰
出处 《医学理论与实践》 2017年第1期9-10,16,共3页 The Journal of Medical Theory and Practice
关键词 无创正压机械通气 支气管哮喘 急性发作 呼吸衰竭 Noninvasive positive pressure ventilation Asthma Acute exacerbation Respiratory failure
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