首页|急诊无创正压通气治疗重症支气管哮喘合并呼吸衰竭的效果分析

急诊无创正压通气治疗重症支气管哮喘合并呼吸衰竭的效果分析

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目的 探究给予重症支气管哮喘合并呼吸衰竭患者急诊无创正压通气的有效性.方法 选取2021年10月—2023年10月北京燕化医院收治的76例重症支气管哮喘合并呼吸衰竭患者为研究对象,应用随机数表法分为研究组和参考组,每组38例.参照组实施常规治疗,研究组在参照组基础上加用急诊无创正压通气治疗,比较两组的治疗效果.结果 研究组治疗有效率(100.00%)高于参考组(84.21%),差异有统计学意义(χ2=4.524,P=0.033).研究组血气指标和生命体征均优于参考组,差异有统计学意义(P均<0.05).研究组并发症发生率低于参考组,差异有统计学意义(P<0.05).结论 给予重症支气管哮喘合并呼吸衰竭患者急诊无创正压通气治疗,可以提高治疗效果,优化血气指标,维持生命体征稳定,减少并发症.
Effect of Emergency Non-invasive Positive Pressure Ventilation on Severe Bronchial Asthma Complicated with Respiratory Failure
Objective To explore the effectiveness of non-invasive positive pressure ventilation in patients with severe bronchial asthma complicated with respiratory failure.Methods A total of 76 patients with severe bronchial asthma combined with respiratory failure admitted to Beijing Yanhua Hospital from October 2021 to October 2023 were se-lected as study subjects,and divided into study group and reference group by random number table method,with 38 cases in each group.The reference group was treated with routine treatment,and the study group added emergency non-invasive positive pressure ventilation for treatment on the basis of reference group.The treatment effect between the two groups was compared.Results The effective rate in the study group(100.00%)was higher than that in the ref-erence group(84.21%),and the difference was statistically significant(χ2=4.524,P=0.033).The blood gas index and vital signs of the study group were better than those of the reference group,and the differences were statistically sig-nificant(both P<0.05).The complication rate of study group was lower than that of the reference group,and the differ-ence was statistically significant(P<0.05).Conclusion Emergency non-invasive positive pressure ventilation for pa-tients with severe bronchial asthma complicated with respiratory failure can improve the therapeutic effect,optimize blood gas index,maintain stable vital signs and reduce complications.

Bronchial asthmaRespiratory failureNon-invasive positive pressure ventilation

葛德帅

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北京燕化医院急诊科,北京 102500

支气管哮喘 呼吸衰竭 无创正压通气

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(9)