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44例老年重症哮喘的院前急救体会 被引量:7

Prehospital Emergency Care of 44 Patients with Severe Asthma
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摘要 目的探讨老年重症哮喘急性发作的院前急救措施。方法在常规平喘治疗基础上,治疗组用甲基泼尼松龙80mg加入5%葡萄糖溶液(0.9%氯化钠溶液)40ml中静脉注射,对照组用地塞米松10mg加入5%葡萄糖溶液(0.9%氯化钠溶液)20ml中静脉注射,观察治疗前、后两组患者临床疗效评分变化。结果治疗组比对照组起效快,疗效好,两组疗效间差异有显著性意义(P<0.01)。结论甲基泼尼松龙是老年重症哮喘院前急救的首选方法,尽早使用,有利于提高抢救成功率。 Objective To explore the methods of the prehospital emergency care of the patients with acute severe asthma. MethodsOn the basic of routine treatment, methylprednisolone 80mg + 5% GS (or NS) 40ml was used in the treatment group and dexarnethasone 1 mg+ 5% GS (or NS) 20ml was used in the control group, then observe and compare the therapeutic effect score. Results, The treatment group had better and quicker therapeutic effect than control group ( P 〈 0.01 ). Conclusion Methylprednisolone is the first selected drug in prehospital emergence care for acute severe asthma, the early application of the methylprednisolone can increase the success rate of the salvage.
出处 《实用心脑肺血管病杂志》 2006年第5期405-406,共2页 Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词 支气管哮喘 重症 院前急救 甲基泼尼松龙 Bronchial asthma, Severe First aid Methylprednisolone
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