无创通气治疗重度支气管哮喘急性发作40例临床分析

The Clinical Analysis of Noninvasive Ventilation in Acute Severe Asthma 40 Patients

目的观察无创通气在重度支气管哮喘急性发作的治疗效果,探讨重症哮喘的有效治疗措施。方法将75例重度支气管哮喘急性发作患者随机分为治疗组40例和对照组35例,治疗组在常规治疗基础上使用BiPAP无创通气治疗;对照组仅使用常规治疗。评价治疗前后临床表现及呼吸(RR)、心率(HR)、动脉血气分析等指标的变化及住院时间的长短。结果治疗组在临床症状的改善、住院时间和血气分析结果均明显优于对照组,差异具有统计学意义(P<0.05)。结论无创通气治疗在重度哮喘急性发作期可明显改善患者临床症状和动脉血气,缩短住院时间,值得临床应用与推广。

Objective To observe the non-invasive ventilation in acute severe asthma attack treatment,effective treatment of severe asthma measures.Methods？75 cases of acute severe asthma were randomly divided into treatment group of 40 patients and a control group of 35 patients,the treatment group were based on the use of BiPAP treatment of non-invasive ventilation;control group with conventional treatment.Clinical evaluation before and after treatment and respiratory（RR）,heart rate（HR）,arterial blood gas analysis and other indicators of change and length of hospital stay.Result？The treatment group in the improvement of clinical symptoms,hospital stay and blood gas analysis results were significantly better than the control group,the difference was statistically significant（P〈0.05）.Conclusion？Non-invasive ventilation in severe acute asthma attack can significantly improve clinical symptoms and arterial blood gas,shorter hospital stay,worthy of clinical application and promotion.