急诊抢救联合小剂量肾上腺素治疗重症哮喘的效果

Effect of Emergency Rescue Combined with Low-dose Adrenaline in the Treatment of Severe Asthma

目的:分析急诊抢救联合小剂量肾上腺素治疗重症哮喘的效果。方法:选取2020年5月-2021年5月笔者所在医院诊治的72例重症哮喘患者,按照随机数字表法将分为两组,每组36例。对照组给予常规急诊抢救,研究组给予急诊抢救联合小剂量肾上腺素治疗,比较两组治疗效果、生命体征、肺功能及不良反应情况。结果:研究组临床总有效率为94.44%,比对照组的75.00%高,差异有统计学意义(P<0.05);治疗后,研究组HR、SpO_(2)、RR均优于对照组,差异有统计学意义(P<0.05);研究组FVC(3.21±0.65)L、FEV;(2.16±0.34)L、FEV_(1)/FVC(62.54±4.38)%,均高于对照组,差异有统计学意义(P<0.05)。治疗后,研究组不良反应发生率为5.56%,低于对照组的22.22%,差异有统计学意义(P<0.05)。结论:急诊抢救联合小剂量肾上腺素治疗重症哮喘的效果较好,能增强肺功能,减少不良反应,有较高的安全性。

Objective:To analyze the effect of emergency rescue combined with low-dose Adrenaline in the treatment of severe asthma.Method:A total of 72 patients with severe asthma who were diagnosed and treated in our hospital from May 2020 to May 2021 were selected and divided into two groups according to the random number table method,with 36 patients in each group.The control group was given routine emergency rescue,and the study group was given emergency rescue combined with low-dose Adrenaline.The clinical effect,vital signs,lung function and adverse reactions of the two groups were compared.Result:The total clinical effective rate of the study group was 94.44%,higher than 75.00% of the control group,and the difference was statistically significant (P<0.05).After treatment,HR,SpO_(2) and RR in the study group were better than those in the control group,and the differences were statistically significant (P<0.05).The FVC (3.21±0.65) L,FEV;(2.16±0.34) L,FEV_(1)/FVC (62.54±4.38) % in the study group were higher than those in the control group,and the differences were statistically significant (P<0.05).After treatment,the incidence of adverse reactions in the study group was 5.56%,which was lower than 22.22% in the control group,the difference was statistically significant (P<0.05).Conclusion:Emergency rescue combined with low-dose Adrenaline in the treatment of severe asthma has a better effect,can enhance lung function,reduce adverse reactions,and has a high degree of safety.