重症哮喘合并呼吸衰竭患者临床急诊抢救的效果

The effect of clinical emergency rescue in patients with severe asthma complicated with respiratory failure

目的探究重症哮喘合并呼吸衰竭患者临床急诊抢救的效果。方法选取2019年11月至2020年11月本院急诊科收治的122例重症哮喘合并呼吸衰竭患者作为研究对象,按照随机数字表法分为常规组(常规基础治疗)与研究组(急诊抢救治疗),各61例,比较两组临床疗效、心率、呼吸频率、动脉血气指标、并发症发生情况。结果研究组抢救总有效率为96.72%,高于常规组的81.97%,差异有统计学意义(P<0.05)。抢救后,研究组心率、呼吸频率均低于常规组,差异有统计学意义(P<0.05)。抢救后,研究组动脉血二氧化碳分压(PaCO_(2))低于常规组,pH值、动脉血氧分压(PaO_(2))高于常规组,差异有统计学意义(P<0.05)。研究组并发症发生率为3.28%,低于常规组的16.39%,差异有统计学意义(P<0.05)。结论及时快速急诊抢救治疗重症哮喘合并呼吸衰竭疗效显著,可有效控制患者呼吸、心率,预后良好,值得临床推广应用。

Objective To explore the effect of clinical emergency rescue in patients with severe asthma complicated with respiratory failure.Methods 122 patients with severe asthma and respiratory failure who were admitted to the emergency department of our hospital from November 2019 to November 2020 were selected as the research subjects,and they were divided into routine group(routine basic treatment)and study group(emergency rescue)according to the random number table method,with 61 cases in each group,the clinical efficacy,heart rate,respiratory rate,arterial blood gas indexes,and complications were compared between the two groups.Results The total effective rate of rescue in the study group was 96.72%,which was higher than 81.97%in the routine group,and the difference was statistically significant(P<0.05).After rescue,the heart rate and respiratory rate of the study group were lower than those of the routine group,and the difference was statistically significant(P<0.05).After rescue,partial pressure of carbon dioxide(PaCO_(2))in the study group was lower than that in the routine group,the pH and partial pressure of oxygen(PaO_(2))were higher than those in the routine group,and the difference was statistically significant(P<0.05).The incidence of complications in the study group was 3.28%,which was lower than 16.39%in the routine group,and the difference was statistically significant(P<0.05).Conclusion Timely and rapid emergency rescue in the treatment of severe asthma complicated with respiratory failure has a significant effect,can effectively control the breathing and heart rate of patients,and has good prognosis,which is worthy of clinical application.