小剂量肾上腺素对重症哮喘急诊抢救疗效观察

Analysis of the curative effect of emergency rescue for severe asthma in combination with small dose of adrenaline

目的探究小剂量肾上腺素对重症哮喘急诊抢救的效果观察。方法随机将2018年2月至2019年8月本院74例重症哮喘患者分为对照组(37例,应用急诊抢救治疗)、实验组(37例,应用小剂量肾上腺素+急诊抢救治疗)。对比两组患者总有效率、哮喘症状评分、肺功能[第1秒用力呼吸容积(FEV1)、用力呼气容积肺活量(FVC)]及不良反应发生率。结果实验组总有效率(94.59%)高于对照组(78.38%),且治疗后哮喘症状评分较对照组更高,P<0.05;实验组治疗后FEV1、FVC较对照组更高,P<0.05;实验组不良反应发生率(13.52%)和对照组(18.92%)无显著差异,P>0.05。结论对重症哮喘患者实施小剂量肾上腺素+急诊抢救治疗更有助于增强疗效,促进哮喘症状缓解,且安全性较高。

Objective To explore the effect of small dose adrenaline combined with emergency rescue for severe asthma.Methods74 patients with severe asthma in our hospital from February 2018 to August 2019 were randomly divided into two groups,control group(n=37 cases)were treated with emergency rescue treatment,and experimental group(n=37 cases)were treated with low dose adrenaline combined with emergency rescue treatment.The total effective rate,asthma symptom score,pulmonary function(FEV1,FVC)and adverse reactions were compared between two groups.Results The total effective rate of the experimental group(94.59%)was higher than that of the control group(78.38%),and the score of asthma symptoms after treatment was higher than that of the control group(P<0.05).FEV1 and FVC of the experimental group were higher than that of the control group(P<0.05).The incidence of adverse reactions in the experimental group was 13.52%and the control group was 18.92%,which had no significant difference(P>0.05).Conclusions Small dose adrenaline combined with emergency treatment can enhance the curative effect,promote the remission of asthma symptoms,and has higher safety.