摘要
目的：分析讨论阶梯治疗方案对重症哮喘急性发作期的临床疗效，为临床提供重症哮喘急性发作时的治疗依据和治疗方案。方法选取42例重症哮喘急性发作患者，依据PH检测结果分为A、B、C三组，A组轻度（PH7．3-7．34）15例，采用A治疗方案治疗；B组中度（7．3-7．25）11例，先用 A治疗方案之后选择B方案；C组重度（PH小于7．25）16例，先选择B治疗方案之后选用C方案，其中2例使用了D和E方案。结果 A、B、C三组经过治疗均痊愈出院。结论阶梯治疗方案对重症哮喘急性发作期的效果显著，减少了气管插管的几率，同时提高了治疗的成功率，值得在临床推广应用。
Abstract
Objective Clinical analysis of this step therapy on acute exacerbation of severe asthma ,provide basis for therapy and treatment of acute severe asthma in clinic.Methods 42 cases of severe acute asthma patients,according to results of PH is divided into A,B,C three group,A group,mild(PH7.3-7.34)in 15 cases,trea-ted with A regimen in the treatment of moderate(7.3-7.25);B group 11 cases,the first after treatment with A scheme selection scheme of B;group C,severe(PH less than 7.25)in 16 cases,after the first choice in the treatment of B scheme with C plan,including 2 cases of the use of the D and E schemes.Results A,B,C three groups after treatment were cured.Conclusion The treatment of severe asthma ladder on acute stage effect,reducing the probability of endotracheal intubation,and improve the success rate of treatment,it is worth in clinical application.
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