摘要
目的:无创通气在重症支气管哮喘患者的疗效评价。方法:观察20例应用无创通气治疗重症哮喘患者治疗前,治疗后4 h,24 h及72 h的血气指标及部分生理指标变化;治疗前后肺功能PEF,FEV1%的变化。与20例使用常规方法治疗的重症哮喘患者作了对比。结果:无创通气组的血气指标(pH,PaO2,PaCO2)。肺功能指标(呼吸频率,PEF,FEV1%)以及心率的改善均优于治疗前及对照组(P<0.05)。结论:应用无创正压通气治疗危重症哮喘效果好,并发症少,患者易于接受,值得临床推广。
Objective. To evaluate the effectiveness of noninvasive ventilation in patients with severe asthma. Methods:40 cases with severe asthma patients were assigned into two groups: the BiPAP group and the conventional group. Change of pH, PaCO2, PaO2, RR and HR were measured before the treatment and 4 hours, 24huors , 72hours after the treatment, and the comparison was made between the two groups. Results: Significant differences were found in the BiPAP group in the improvement of pH and PaO2, PEF and FEV1% and decreased value of PaCO2 ,HR, RR before and after the treatment , compared with the conventional group(P〈0. 05). Conclusion: The noninvasive ventilation in treating severe asthma is effective, well-compliant and has few complication.
出处
《中国临床医学》
北大核心
2006年第2期212-213,共2页
Chinese Journal of Clinical Medicine
关键词
支气管哮喘
无创正压通气
肺功能
血气分析
Asthma
Noninvasive ventilation
Pulmonary function
Blood gas analysis