急诊抢救重症哮喘联合小剂量肾上腺素治疗效果

Effece on Emergency Rescure Treatment of Severe Asthma Combined with Low-dose Adrenaline Treatment

目的:分析急诊抢救重症哮喘联合小剂量肾上腺素治疗效果。方法:选择笔者所在医院2018年1月-2019年1月收治80例重症哮喘患者,随机分成两组,对照组40例采取常规急诊治疗,研究组40例在对照组基础上使用小剂量肾上腺素治疗,对两组患者治疗效果、生命体征及不良反应进行比较。结果:治疗后,研究组患者治疗总有效率为95.00%,明显比对照组的80.00%高,差异有统计学意义(P<0.05);研究组患者治疗后心率(92.89±4.62)次/min、呼吸频率(16.55±3.98)次/min及血氧饱和度(95.74±1.69)%均优于对照组,差异均有统计学意义(P<0.05);研究组患者不良反应发生率为5.00%,明显低于对照组的12.50%,差异有统计学意义(P<0.05)。结论:对重症哮喘患者进行急诊抢救联合小剂量肾上腺素,可改善患者呼吸频率、心率及血氧饱和度,减少不良反应,有效提升治疗效果,值得临床上推广使用。

Objective: To analyze the effect of emergency rescue treatment of severe asthma combined with low-dose Adrenaline. Method: The eighty patients with severe asthma were enrolled in our hospital from January 2018 to January 2019. They were randomly divided into two groups. Forty patients in the control group were treated with routine emergency treatment, and forty patients in the study group were treated with low-dose Adrenaline on the basis of the control group. The treatment effect, vital signs and adverse reactions of the two groups were compared. Result: After treatment,the total effective rate of the study group was 95.00%, which was significantly higher than 80.00% of the control group, the difference was statistically significant(P<0.05). The patients in the study group had a heart rate of(92.89±4.62) times/min, respiratory rate of(16.55±3.98) times/min and blood oxygen saturation of(95.74±1.69)%, which were superior to the control group, and the differences were statistically significant(P<0.05). The incidence of adverse reactions in the study group was 5.00%, which was significantly lower than 12.50% in the control group, the difference was statistically significant(P<0.05). Conclusion: Emergency rescue combined with low-dose Adrenaline in patients with severe asthma can improve respiratory rate, heart rate and oxygen saturation, reduce adverse reactions, effectively improve the therapeutic effect. It is worthy of popularization in clinical use.