40例煤工尘肺合并呼吸衰竭的临床分析

Clinical analysis on 40 cases of coal workers pneumoconiosis with respiratory failure

目的:探讨参麦注射液治疗煤工尘肺合并呼吸衰竭的临床疗效。方法:选取淮北市职业病防治院收治的煤工尘肺合并呼吸衰竭患者40例,随机分成观察组和对照组各20例。两组患者经过相关检查和明确诊断后均进行一般常规治疗,观察组患者在此基础上加用参麦注射液治疗。结果:与对照组相比,观察组救治成功的比例显著提高,组间比较差异具有统计学意义(P<0.05)。与此同时,观察组患者氧分压和二氧化碳分压等动脉血气分析指标均显著改善,且组间比较差异均具有统计学意义(P<0.05)。结论:参麦注射液可提高煤工尘肺合并呼吸衰竭患者的临床疗效,值得临床推广。

Objective：To investigate the clinical effect of Shenmai injection in treating pneumoconiosis combined with respiratory failure. Methods： 40 patients with coal worker＇s pneumoconiosis complicated with respiratory failure by Huaibei mining occupation disease prevention hospital were randomly divided into the observation group, and 20 cases of control group. Two groups of patients after the relevant examination and diagnosis of Western medicine con- ventional therapy, patients in the observation group based on the use of Shenmai injection in the treatment of. Results： Compared with control group, the observation group treatment success rate increased significantly, the difference be- tween groups was statistically significant （P〈0.05）. At the same time, patients in the observation group Pa02 and Pa- C02 and arterial blood gas analysis indicators were significantly improved, and the difference between groups was statistically significant （P〈0.05）. Conclusion： Shenmai injection can improve the clinical efficacy in patients with coal worker＇s pneumoconiosis complicated with respiratory failure, which is worth the clinical promotion.