重症哮喘的治疗中给予双水平气道正压无创呼吸机辅助通气治疗的实际价值

The Practical Value of Bi-level Positive Airway Pressure Non-invasive Ventilator Assisted Ventilation in the Treatment of Severe Asthma

目的分析重症哮喘的治疗中给予双水平气道正压无创呼吸机辅助通气治疗的实际价值。方法该研究观察了2018年1月—2020年4月期间的66例重症哮喘患者,采用数字法对患者随机分组,对照组采取常规治疗措施,观察组联合双水平气道正压无创呼吸机辅助通气治疗,观察两组的疗效、症状改善效果以及呼吸功能。结果观察组患者的治疗有效率数据是93.94%(31例),高于对照组的75.76%(25例),数据差异有统计学意义(χ^(2)=4.243,P<0.05);观察组呼吸困难评分(2.2±1.3)分,胸闷评分(1.7±1.2)分,喘息评分(1.8±0.6)分,数据低于对照组,差异有统计学意义(t=5.060、2.725、4.413,P<0.05);观察组治疗后FEV1为(2.23±0.53)L,PEF为(4.31±0.37)L/s,MMEF为(0.66±0.14)L/s,数据优于对照组,差异有统计学意义(t=6.471、10.995、7.744,P<0.05)。结论重症哮喘的治疗中给予双水平气道正压无创呼吸机辅助通气治疗对于患者呼吸功能和临床症状的改善效果比较明显,可提升临床疗效。

Objective To analyze the actual value of bilevel positive airway pressure non-invasive ventilator assisted ventilation in the treatment of severe asthma.Methods This study observed 66 patients with severe asthma from January 2018 to April 2020.The patients were randomly divided into groups using a number method.The control group took conventional treatment measures,and the observation group was combined with a bilevel positive airway pressure non-invasive ventilator adjuvant ventilation therapy,observed the curative effect,symptom improvement effect and respiratory function of the two groups.Results The effective rate of treatment for patients in the observation group was 93.94%(31 cases),which was higher than 75.76%(25 cases)in the control group.The difference was statistically significant(χ^(2)=4.243,P<0.05);the observation group had dyspnea score(2.2±1.3)points,chest tightness score(1.7±1.2)points,wheezing score(1.8±0.6)points,the data was lower than the control group,the difference were statistically significant(t=5.060,2.725,4.413,P<0.05);FEV1 of the observation group after treatment was(2.23±0.53)L,PEF was(4.31±0.37)L/s,MMEF was(0.66±0.14)L/s,the data was better than the control group,the differences were statistically significant(t=6.471,10.995,7.744,P<0.05).Conclusion In the treatment of severe asthma,the treatment of bilevel positive airway pressure non-invasive ventilator assisted ventilation has obvious improvement effects on patients'respiratory function and clinical symptoms,and can improve clinical efficacy.