机械通气治疗重症支气管哮喘的疗效  

The clinical effect report of severe bronchial asthma treated by mechanical ventilation

作　　者：李志杰[1] 

机构地区：[1]商丘市第一人民医院呼吸重症医学科RICU,河南商丘476100

出　　处：《临床医药文献电子杂志》2015年第2期213-214,共2页Electronic Journal of Clinical Medical Literature

摘　　要：目的探讨重症支气管哮喘采用机械通气治疗的疗效。方法回顾性分析我院2011年12月-2013年01月收治的60例重症支气管哮喘患者的临床资料,根据治疗方式的不同将患者分为对照组与观察组,各30例。对照组采用常规综合治疗,观察组则在此基础上加用机械通气技术进行治疗,观察对比两组患者的临床疗效及治疗前后的心率、血气指标的变化情况。结果观察组患者的临床疗效明显优于对照组,组间比较差异有统计学意义（P〈0.05）;从治疗前后的心率、血气指标变化对比看,两组患者治疗前的心率、血气指标比较差异无统计学意义（P〉0.05）;治疗后,两组心率、血气指标均有所改善,观察组的改善程度明显优于对照组,组间比较差异有统计学意义（P〈0.05）。结论重症支气管哮喘采用机械通气治疗效果显著,能有效提高抢救成功率、降低死亡率与并发症的发生率,并能显著改善患者的血气功能,值得在临床上推广应用。Objective To investigate the clinical effect of severe bronchial asthma treated by mechanical ventilation. Methods A retrospective analysis of the clinical data in our hospital in December 2011- January 2013 were treated 60 cases of severe bronchial asthma, according to the different treatment of the patients were divided into a control group and the observation group, 30 cases in each group. The control group received routine treatment, observation group was treated on the basis of the addition of mechanical ventilation technology, the two groups were observed and compared the clinical effects and heart rate, blood gas before and after treatment were observed. Results To observe the clinical effect of treatment group were significantly better than the control group, the differences between groups was significant（P〈0.05）; from before and after the treatment, heart rate, blood gas index changes in contrast, two groups of patients before treatment, heart rate, blood gas index compared with no significant difference（P〉0.05）; after treatment, two groups of heart rate, blood gas index have improved in the observation group improved significantly better than the control group, there were statistically significant differences between groups（P〈0.05）. Conclusion Severe bronchial asthma with mechanical ventilation have a significant treatment effect, can effectively improve the rescue success rate, reduce the incidence of mortality and complications, and can significantly improve function in patients with blood, worthy of popularization and application in clinic.

关 键 词：重症支气管哮喘 机械通气 临床效果 

分 类 号：R562.25[医药卫生—呼吸系统]