无创正压通气治疗急性重症哮喘合并呼吸衰竭的疗效观察23例

The Curative Effect of Noninvasive Positive Pressure Ventilaton in Treatment of Acute Severe Asthma Combined With Respiratory Failure Was Observed in 23 Cases

目的探讨无创正压通气治疗急性重症哮喘合并呼吸衰竭的疗效观察。方法纳入2016年1月-2017年6月诊治的急性重症哮喘合并呼吸衰竭患者23例为研究对象,将患者以随机数字表法分组为:对照组10例患者用常规方式治疗,观察组13例患者用常规治疗+无创正压通气治疗;详细记录两组患者治疗前后动脉血气各项指标变化情况、临床治疗总有效率,并将所获相关数据作对比分析。结果观察组患者动脉血气各项指标变化比对照组优、临床治疗总有效率比对照组高,差异有统计学意义(P<0.05)。结论予以急性重症哮喘合并呼吸衰竭患者常规治疗时,辅以无创正压通气治疗的效果显著,可充分降低患者动脉血气各项指标,改善其各临床症状。

Objective To investigate the efficacy of noninvasive positive pressure ventilation in the treatment of acute severe asthma complicated with respiratory failure.Methods The January 2016-2017 year in June in our hospital for diagnosis and treatment of patients with acute severe asthma with respiratory failure in 23 cases as the research object,the patients were randomly divided into control group of 10 patients treated with conventional methods,the observation group of 13 patients treated with noninvasive positive pressure ventilation with conventional treatment ＋ detailed record;two groups before and after treatment the changes of arterial blood gas indexes,the total efficiency of clinical treatment,and the relevant data for comparative analysis.Results The indexes of arterial blood gas in the observation group were better than that in the control group,and the total effective rate of the clinical treatment was higher than that of the control group,the difference was statistically significant（ P〈0.05）.Conclusions Acute severe asthma patients with respiratory failure of conventional therapy,supplemented by noninvasive positive pressure ventilation in the treatment of significant effect,it can reduce the arterial blood gas indicators of patients,improve the clinical symptoms,worthy of clinical application.