摘要
目的探讨对重症哮喘合并呼吸衰竭患者行急诊治疗的临床效果。方法将2015年12月—2016年12月该院收治的96例重症哮喘合并呼吸衰竭患者作为研究对象,根据治疗方法的不同分为急诊组和常规组,各48例。急诊组行急诊治疗,常规组行基础治疗,观察并比较两组治疗效果、治疗前、后各项指标的改善情况。结果急诊组的治疗有效率45例(93.75%)显著高于常规组36例(75.00%),两组治疗前的动脉氧分压(PaO_2)、动脉二氧化碳分压(PaCO_2)、心率(HR)等指标均差异无统计学意义(P>0.05),治疗后急诊组的PaO_2、PaCO_2以及HR等指标均优于常规组,差异有统计学意义(P<0.05)。结论对重症哮喘合并呼吸衰竭患者行急诊治疗,不仅能够有效改善患者PaO_2、PaCO_2以及HR等指标,同时,还能够缓解患者的临床症状,减少死亡事件的发生。
Objective To study the emergency treatment effect of severe asthma and respiratory failure.Methods 96 cases of patients with severe asthma and respiratory failure admitted and treated in our hospital from December 2015 to December 2016 were selected and divided into two groups according to the different treatment methods with 48 cases in each,the emergency group and the routine group respectively adopted the emergency treatment and basic treatment,and the treatment effect and improvement degrees of various indexes before and after treatment were compared between the two groups.Results The treatment effective rate in the emergency group was obviously higher than that in the routine group[(45 cases vs 36 cases,93.75%vs 75.00%)],and the differences in the PaO2,PaCO2,HR between the two groups before treatment was not obvious(P>0.05),after treatment,the PaO2,PaCO2,HR were better than those in the routine group,and the differences were statistically significant(P<0.05).Conclusion The emergency treatment effect of severe asthma and respiratory failure can not only effectively improve the PaO2,PaCO2,HR,but also can relieve the clinical symptoms and reduce the occurrence of death events.
作者
蒋希石
李蕾
王后丹
赵志国
张明德
JIANG Xi-shi;LI Lei;WANG Hou-dan;ZHAO Zhi-guo;ZHANG Ming-de(Department of Emergency,Dongchangfu People’s Hospital,Liaocheng,Shandong Province,252000 China;Endocrine Department,Dongchangfu People’s Hospital,Liaocheng,Shandong Province,252000 China;Scientific and Teaching Department,Dongchangfu People’s Hospital,Liaocheng,Shandong Province,252000 China;Department of Otorhinolaryngology,Dongchangfu People’s Hospital,Liaocheng,Shandong Province,252000 China)
出处
《系统医学》
2017年第15期32-33,36,共3页
Systems Medicine
关键词
重症哮喘
呼吸衰竭患者
急诊治疗
治疗效果
Severe asthma
Patients with respiratory failure
Emergency treatment
Treatment effect
