两种治疗联合对危重型哮喘的临床疗效分析

Analysis of clinical curative effect of two combined methods in the treatment of patients with severe asthma

目的分析支气管肺泡灌洗术联合利多卡因雾化吸入对危重型哮喘的临床疗效。方法抽取我院确诊为危重型哮喘的患者72例作为临床研究对象,将其分为两组,对照组予利多卡因雾化吸入治疗,观察组予支气管肺泡灌洗术联合利多卡因雾化吸入治疗,测定并进行分析患者治疗后的作用与手术安全性。结果组间治疗后记录心率、气道压力、动脉血PH的变化比较,P<0.05,具有统计学意义。对照组经过治疗后总有效率仅为55.56%而观察组经过治疗总有效率高达88.89%,P<0.05,具有统计学意义。结论支气管肺泡灌洗术联合利多卡因雾化吸入通过缓解支气管痉挛及减轻支气管阻塞治疗危重型哮喘,能够明显减轻哮喘症状改善患者的生命质量,值得临床研究并大量应用。

Objective To analyze the clinical effect of bronchoalveolar lavage combined with lidocaine aerosol inhalation in the treatment of patients with severe asthma. Methods 72 patients with severe asthma were randomly divided two groups. The control group was given lidocaine aerosol inhalation treatment, and the observation group was given bronchoalveolar lavage combined with lidocaine aero- sol inhalation. The effect and post - operation safety after the treatment were compared. Results The changes of heart rate, airway pres- sure and arterial blood showed a significant difference between the two groups （ P 〈 0.05 ）. The total effective rate was 55.56% in the control group and 88.89% in the observation group respectively （ P 〈 0. 05 ）. Conclusion Bronchoalveolar lavage combined with lido- caine aerosol inhalation can alleviate bronchospasm and mitigate bronchial blocker in the treatment of patients with severe asthma, which is worthy of clinical research and being applied widely.