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目的:探讨急诊救治重症哮喘合并呼吸衰竭的临床效果。方法:选取2015年1月~2016年6月间收治的60例重症哮喘合并呼吸衰竭患者作为研究资料,按患者入院救治时间分为两组:常规组:30例,行常规对症治疗;急诊组:30例,行常规对症治疗,辅以BiPAP呼吸机治疗;对比分析两组治疗前及治疗4h后,HR(心率)、RR(呼吸频率)、PaCO2、PaO2水平。结果:两组患者治疗4h后,HR、RR、PaCO2、PaO2较治疗前改善明显(P<0.05),且急诊组改善程度较常规组更为显著(P<0.05);急诊组临床治疗总有效率为96.7%(29/30),常规组为80.0%(24/30),组间统计学差异明显(X2=16.227,P<0.05);且两组均未现死亡病例。结论:急诊救治重症哮喘合并呼吸衰竭患者时,应呼吸机辅助救治,其临床效果更为显著;对迅速缓解患者哮喘发作,降低病死率,具有积极作用。
Objective: To investigate the clinical effect of emergency treatment of severe asthma with respiratory failure. Methods: Sixty patients with severe asthma with respiratory failure who were admitted between January 2015 and June 2016 were selected as the research materials. Patients were divided into two groups according to the time of admission for treatment: the conventional group: 30 patients underwent routine symptomatic treatment; the emergency group : 30 cases were treated with routine symptomatic treatment supplemented with BiPAP ventilator; HR, RR, PaCO2 and PaO2 were compared before and after treatment for 4 hours. Results: HR, RR, PaCO2 and PaO2 were significantly improved (P <0.05), and the improvement in emergency group was more significant than that in conventional group (P <0.05). The total number of clinical treatment in emergency group The efficiency was 96.7% (29/30) in the conventional group and 80.0% (24/30) in the conventional group. There was significant difference between the two groups (X2 = 16.227, P <0.05). No deaths were found in both groups. Conclusion: The emergency treatment of severe asthma patients with respiratory failure, ventilator-assisted treatment, the clinical effect is more significant; for the rapid relief of asthma attacks in patients with reduced mortality has a positive effect.