重症哮喘老年患者规范性治疗的临床效果观察

Observation on Clinical Effect of Standardized Treatment on Elderly Patients with Severe Asthma

目的:对老年重症哮喘患者的治疗效果进行分析,为老年哮喘重症患者规范治疗提供依据。方法:选择笔者所在医院2010-2015年收治的老年重症哮喘患者420例为研究对象,随机分为观察组与对照组,每组210例,对照组采取常规治疗,观察组在对照组的基础上给予机械通气辅助治疗,观察对比两组治疗效果。结果:两组治疗后4 h的心率(HR)、呼吸频率(RR)、Pa O2与治疗前比较均有明显改善,且观察组改善程度更为明显,差异均有统计学意义(P<0.05)。结论:常规治疗联合机械通气辅助治疗重症哮喘患者临床疗效显著,能够缓解哮喘发作,具有重要的临床应用价值。

Objective：To investigate the clinical treatment and nursing intervention effect on elderly patients with severe asthma.Method：420 cases of senile severe asthma patients in our hospital from 2010 to 2015 were selected as the objects and randomly divided into the observation group and the control group, 210 cases in each group,the control group was treated with routine treatment,while the observation group was given mechanical ventilation adjuvant therapy on the basis of in the control group,the therapeutic effect of the two groups were observed and compared.Result：Four hours after the treatment,the heart rate（HR）, respiratory frequency（RR）,and PaO2 of the two groups were significantly improved compared with before the treatment,and which improved more obviously in the observation group,the differences were statistically significant（P〈0.05）.Conclusion：Routine therapy combined with mechanical ventilation auxiliary emergency rescue combination of respiratory failure in severe asthma has significant clinical curative effect,it can mitigate the asthma,it has an important clinical value.