两种方法在院前重症支气管哮喘急救中的效果分析

Analysis of the effect of two methods in emergency treatment of severe bronchial asthma

目的比较分析两种用药方法在院前重症支气管哮喘急救中的效果,提高院前急救的有效率。方法回顾45例重症支气管哮喘患者,给予随机分为地塞米松+氨茶碱组(组1)和甲泼尼龙琥珀酸钠(甲强龙)+多索茶碱组(组2),通过观察心率、呼吸频率、末梢血氧饱和度(SPO2)和患者症状改善情况,以及不良反应发生率,比较两种治疗方法的优越性。结果甲强龙+多索茶碱组在治疗效果和不良反应率上优于地塞米松+氨茶碱组。讨论在重症支气管哮喘的院前急救的过程中,通过采取针对性的急救措施方法,能够使患者尽快脱离生命危险,改善患者症状,提高患者的生活质量和急救效果。

Objective To compare the effect of the two methods in the emergency treatment of prehospital severe bronchial asthma and improve the efficiency of first aid. Methods Review of 45 patients with severe bronchial asthma, were randomly divided into dexamethasone + aminophylline group and methylprednisolone sodium succinate (methylprednisolone) + Doxofylline group, by observing heart rate,respiratory rate, peripheral oxygen saturation (SPO2) and the improvement of symptoms of patients, and the incidence of adverse reactions, Comparison of the advantages of two treatment methods. Results Methylprednisolone + Doxofylline group in the treatment effect and adverse reaction rate is superior to dexamethas one+ aminophylline group. Conclusion In patients with severe bronchial asthma in the process of pre-hospital care, through the adoption of targeted first aid measures, can make the patient out of danger as soon as possible to improve the patient's symptoms, improve the quality of life of patients and improve the effectiveness of first aid.