甲基强的松龙在重症哮喘患者院前急救中的应用

Application of Methylprednisolone in the Pre-hospital Care of Patients with Severe Asthma

目的探析重症哮喘患者院前急救中采用甲基强的松龙治疗的临床疗效。方法将整群选取的2013年5月—2015年5月该院急诊收治的86例重症哮喘患者随机分为两组,每组43例,对照组患者给予院前急救基础措施,观察组在此基础上经静脉注射甲基强的松龙。比较两组患者用药前后心率及呼吸频率变化情况。结果观察组患者抢救后心率为(116.3±7.9)次/min,呼吸频率为(28.1±5.9)次/min,均明显优于对照组的(127.4±11.1)、(31.0±7.1)次/min,差异具有统计学意义(P<0.05)。结论重症哮喘患者在院前急救中给予甲基强的松龙可迅速改善心率与呼吸频率,缓解患者突发危急病症。

Objective To discuss the clinical curative effect of methylprednisolone in the pre-hospital care of patients with severe asthma. Methods 86 cases of patients with severe asthma admitted to the department of emergency in our hospital from May 2013 to May 2015 were randomly divided into two groups with 43 cases in each, the control group were given basic measures of pre-hospital care, the observation group were injected with methylprednisolone through vein, the changes of heart rate and breathing rate of the two groups before and after pharmacy were compared. Results The heart rate after emergency and breathing rate in the observation group were obviously better than those in the control group（116.3 ±7.9）times/min vs（127.4±11.1）times/min,（28.1±5.9）times/min vs（31.0±7.1）times/min, which were statistically significant（P〈0.05）. Conclusion The methylprednisolone in the pre-hospital care of patients with severe asthma can quickly improve the heart rate and breathing rate and relieve the patient＇s sudden critical diseases.