重症支气管哮喘50例抢救治疗临床分析
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摘要
目的探析对重症支气管哮喘患者抢救治疗措施及预后效果。方法取笔者所在医院重症医学科2017年至2018年诊疗重症支气管哮喘患者50例相关数据资料进行分析,所有患者均接受综合性治疗干预,对其临床资料以回顾性方式进行分析,归纳有效治疗方案。结果相对于接受治疗前,综合治疗后患者动脉血气指标、呼吸频率、心率均得到有效改善,前后有统计学意义(P<0.05);对患者疗效评估,治疗总有效率为92.0%;患者完成治疗后均无发生严重并发症。结论为重症支气管哮喘患者需要及时确认病情并采取有效的治疗干预措施,最大程度保障患者生命健康。
Objective To analyze the rescue treatment and prognosis of patients with severe bronchial asthma.Methods The data of 50 patients with severe bronchial asthma who were diagnosed and treated in the Department of Critical Care Medicine of the hospital from 2017 to 2018 were analyzed. All patients underwent comprehensive treatment intervention, and their clinical data were analyzed retrospectively to summarize effective treatment.Results Compared with the patients before treatment, the arterial blood gas index, respiratory rate and heart rate were effectively improved after comprehensive treatment, and there was statistical significance before and after treatment(P<0.05). The total effective rate was 92.0%. No serious complications occurred after completion of treatment.Conclusion Patients with severe bronchial asthma need to confirm the condition in time and take effective treatment interventions to ensure the life and health of patients.
Objective To analyze the rescue treatment and prognosis of patients with severe bronchial asthma.Methods The data of 50 patients with severe bronchial asthma who were diagnosed and treated in the Department of Critical Care Medicine of the hospital from 2017 to 2018 were analyzed. All patients underwent comprehensive treatment intervention, and their clinical data were analyzed retrospectively to summarize effective treatment.Results Compared with the patients before treatment, the arterial blood gas index, respiratory rate and heart rate were effectively improved after comprehensive treatment, and there was statistical significance before and after treatment(P<0.05). The total effective rate was 92.0%. No serious complications occurred after completion of treatment.Conclusion Patients with severe bronchial asthma need to confirm the condition in time and take effective treatment interventions to ensure the life and health of patients.
引文
[1] 侯娟.酚妥拉明与硫酸镁联合治疗重症支气管哮喘的疗效分析[J].中国医药指南,2017,15(4):4.
[2] 周琳琳.甲泼尼龙注射液和硫酸镁注射液治疗重症支气管哮喘的临床疗效[J].北方药学,2017,14(8):125-126.
[3] 杨处明,续懿敏.甲泼尼龙注射液和硫酸镁注射液治疗重症支气管哮喘的疗效及对炎性因子的影响[J].中国基层医药,2016,23(10):1572-1574.
[4] 严锦涛.硫酸镁与甲基强的松龙联用对重症支气管哮喘患者临床疗效与肺功能的影响分析[J].中国保健营养,2017,27(1):38-39.
[5] 邸春红.甲泼尼龙联合硫酸镁治疗重症支气管哮喘的临床疗效及其对患者肺功能的影响[J].临床合理用药杂志,2017,10(24):39-40.
[6] 刘勇.无创正压通气治疗重症支气管哮喘的疗效观察[J].中国医药指南,2016,14(15):121.
[7] 李洪林.黄芪注射液雾化吸入联合无创正压通气治疗重症支气管哮喘疗效及对血浆8-异前列腺素、IL-25、ET-1水平的影响[J].现代中西医结合杂志,2018,27(2):143-146.
[8] 林月娇.无创呼吸机CPAP模式间断治疗重症支气管哮喘的疗效研究[J].中国现代药物应用,2018,12(10):40-41.
[9] 何忠建,耿平.无创正压通气在急诊治疗重症支气管哮喘合并呼吸衰竭的临床效果[J].实用临床医药杂志,2016,20(24):81.
[10] 李薇.急诊无创正压通气治疗重症支气管哮喘合并呼吸衰竭的临床疗效[J].中国医学工程,2016,15(2):122-123.
[11] 颜文美,林素琴.BiPAP面罩式双水平正压通气治疗重症支气管哮喘33例临床分析[J].中国临床新医学,2013,6(12):1197-1199.
[12] 杨羽,建彬,李鸣.无创双水平气道正压通气治疗中重症支气管哮喘的临床效果观察[J].实用心脑肺血管病杂志,2014,22(12):76-77.
[13] 罗志敏,罗永彪.BiPAP正压通气治疗重症支气管哮喘合并Ⅱ型呼吸衰竭的效果观察[J].吉林医学,2013,34(1):37-38.
[2] 周琳琳.甲泼尼龙注射液和硫酸镁注射液治疗重症支气管哮喘的临床疗效[J].北方药学,2017,14(8):125-126.
[3] 杨处明,续懿敏.甲泼尼龙注射液和硫酸镁注射液治疗重症支气管哮喘的疗效及对炎性因子的影响[J].中国基层医药,2016,23(10):1572-1574.
[4] 严锦涛.硫酸镁与甲基强的松龙联用对重症支气管哮喘患者临床疗效与肺功能的影响分析[J].中国保健营养,2017,27(1):38-39.
[5] 邸春红.甲泼尼龙联合硫酸镁治疗重症支气管哮喘的临床疗效及其对患者肺功能的影响[J].临床合理用药杂志,2017,10(24):39-40.
[6] 刘勇.无创正压通气治疗重症支气管哮喘的疗效观察[J].中国医药指南,2016,14(15):121.
[7] 李洪林.黄芪注射液雾化吸入联合无创正压通气治疗重症支气管哮喘疗效及对血浆8-异前列腺素、IL-25、ET-1水平的影响[J].现代中西医结合杂志,2018,27(2):143-146.
[8] 林月娇.无创呼吸机CPAP模式间断治疗重症支气管哮喘的疗效研究[J].中国现代药物应用,2018,12(10):40-41.
[9] 何忠建,耿平.无创正压通气在急诊治疗重症支气管哮喘合并呼吸衰竭的临床效果[J].实用临床医药杂志,2016,20(24):81.
[10] 李薇.急诊无创正压通气治疗重症支气管哮喘合并呼吸衰竭的临床疗效[J].中国医学工程,2016,15(2):122-123.
[11] 颜文美,林素琴.BiPAP面罩式双水平正压通气治疗重症支气管哮喘33例临床分析[J].中国临床新医学,2013,6(12):1197-1199.
[12] 杨羽,建彬,李鸣.无创双水平气道正压通气治疗中重症支气管哮喘的临床效果观察[J].实用心脑肺血管病杂志,2014,22(12):76-77.
[13] 罗志敏,罗永彪.BiPAP正压通气治疗重症支气管哮喘合并Ⅱ型呼吸衰竭的效果观察[J].吉林医学,2013,34(1):37-38.