探讨重症支气管哮喘应用机械通气的治疗效果  

To explore the application of mechanical ventilation in severe bronchial asthma treatment

作　　者：闫玉忠[1] 李秋波[2] 

机构地区：[1]吉林省吉林市人民医院,吉林吉林132001 [2]吉林省中医药科学院,吉林长春132001

出　　处：《世界最新医学信息文摘》2013年第9期48-48,29,共2页World Latest Medicine Information Electronic Version

摘　　要：目的探讨重症支气管哮喘应用机械通气的临床治疗效果。方法回顾性分析我院20例重症支气管哮喘患者的临床资料，所有患者均给予常规治疗，同时采用机械通气包括有创机械通气同步间歇指令通气模式和无创正压通气NPPV治疗。结果通过采用机械通气治疗后患者的pH值、PaCO2、PaO2、气道阻力及PEF均得到较明显的改善（P〈0．05或P〈0．01），具有统计学意义，所有患者均未出现并发症。结论重症支气管哮喘是严重的呼吸系统疾病，机械通气能有效降低患者的病死率和并发症的发生率，是抢救重症支气管哮喘的有效临床措施。Objective To investigate the clinical effect of treatment of severe bronchial asthma by mechanical ventilation. Methods a retrospective analysis of the clinical data of 20 patients with severe bronchial asthma in our hospital, all patients were given conventional therapy, while using mechanical ventilation include invasive mechanical ventilation synchronized intermittent mandatory ventilation and noninvasive positive pressure ventilation in treatment of NPPV. Results： through the use of mechanical ventilation in the treatment of patients with pH, PaCO2, PaO2, airway resistance and PEF were significantly improved （P〈0.05 orP〈0.01）, with statistical significance, all patients had complications. Conclusion severe bronchial asthma is a serious respiratory disease, mechanical ventilation can effectively reduce the mortality and morbidity of patients the incidence of clinical measures, is effective in treatment of severe bronchial asthma.

关 键 词：机械通气 支气管哮喘 正压通气 

分 类 号：R562.25[医药卫生—呼吸系统]