小剂量肾上腺素对重症哮喘急诊抢救的临床分析

Clinical analysis of low-dose epinephrine in emergency treatment of severe asthma

目的:研究小剂量肾上腺素对重症哮喘急诊抢救的临床效果分析。方法:选取收治的重症哮喘患者86例,根据抢救方案的不同分为观察组43例和对照组43例。对照组患者实施常规急诊抢救方案,观察组患者注射小剂量肾上腺素+急诊抢救。观察比较两组重症哮喘患者的临床症状体征变化、临床效果、不良反应发生情况等。结果:观察组重症哮喘患者治疗后的血氧饱和度及临床总有效率均高于对照组,差异具有统计学意义(P<0.05),治疗后的心率、呼吸频率均低于对照组,差异具有统计学意义(P<0.05);观察组和对照组的不良反应发生率对比,差异无统计学意义(P>0.05)。结论:在重症哮喘患者急诊抢救的同时应用小剂量肾上腺素安全、有效,有助于临床症状的改善,提高患者满意度,临床上值得进一步推广。

Objective To study the clinical effect of low-dose epinephrine on emergency treatment of severe asthma.Method 86 cases of severe asthma patients were selected,and they were divided into observation group(43 cases)and control group(43 cases)according to the diference of the rescue plan.The patients in the control group received routine emergency treatment,while the observation group received small doses of epinephrine plus emergency treatment.The clinical symptoms and signs,clinical effects and adverse reactions of two groups of severe asthma patients were observed and compared.Results The blood oxygen saturation and the total clinical effective rate of the severe asthma patients in the observation group were higher than those in the control group(P<0.05).The rate of heart rate and respiratory rate after treatment was lower than that of the control group(P<0.05),and there was no statistical difference in the incidence of adverse riactions between the observation group and the control group(P>0.05).Conclusion It is safe and effective to use small dose adrenaline at the same time in emergency treatment of severe asthma.It is helpful to improve the clinical symptoms and improve the patient,s satisfaction.It should be fur ther promoted in clinical.