急诊治疗重症哮喘合并呼吸衰竭的临床疗效观察

Clinical Observation of Emergency Treatment for Severe Asthma With Respiratory Failure

目的分析重症哮喘合并呼吸衰竭应用急诊治疗的临床效果。方法抽取2018年7月—2019年7月在我院接受治疗的重症哮喘合并呼吸衰竭患儿78例,在患儿家长知情并且同意的基础上采用随机的方式将全部患儿分为两组,即对照组和实验组,每组人数均为39例。对照组患儿采取常规治疗方法,实验组采取急诊治疗法,观察两组患儿的治疗效果。结果实验组治疗总有效率为97.43%,对照组治疗总有效率为82.04%,差异有统计学意义(P<0.05)。治疗后对照组患儿的PaO2、PaCO2、pH分别为(63.15±2.36)mmHg、(53.18±1.32)mmHg、(7.31±0.01),实验组患儿治疗后的PaO2、PaCO2、pH分别为(73.58±1.96)mmHg、(48.21±2.14)mmHg、(7.42±0.02)。对照组与实验组患儿第一、三项指标均升高,第二项指标下降,且实验组变化幅度比较大,差异有统计学意义(P<0.05)。结论对重症哮喘合并呼吸衰竭患儿实施急诊治疗能够提高治疗总有效率,且患儿的身体各项指标恢复效果也比较好,值得推广。

Objective To analyze the clinical effect of emergency treatment in patients with severe asthma complicated with respiratory failure.Methods A total of 78 patients with severe asthma and respiratory failure who were treated in our hospital from July 2018 to July 2019 were enrolled.The patients were divided into two groups randomly,the control group and the experimental group,each group of 39 patients.The patients in the control group were treated with conventional treatment,and the experimental group was treated with emergency treatment to observe the therapeutic effects of the two groups.Results The total effective rate of the experimental group was 97.43%.The total effective rate of the control group was 82.04%(P<0.05).After treatment,the PaO2,PaCO2,and pH of the control group were(63.15±2.36)mmHg,(53.18±1.32)mmHg,(7.31±0.01),and the PaO2,PaCO2,and pH of the experimental group were(73.58±1.96)mmHg,(48.21±2.14)mmHg,(7.42±0.02).In the control group and the experimental group,the first and third indicators were increased,the second index was decreased,and the experimental group had a larger change range(P<0.05).Conclusion Emergency treatment for patients with severe asthma and respiratory failure can improve the total effective rate of treatment,and the recovery of various indicators of the patient's body is also better,it is worth promoting.