摘要
目的探讨面罩吸氧治疗过度换气综合征的疗效。方法选取我院急诊科2008年6月—2011年6月收治的过度换气综合征患者240例,采用简单随机抽样法分为对照组113例,试验组127例。对照组给予常规治疗加鼻导管吸氧,试验组给予常规治疗加面罩吸氧,观察两组患者治疗前和治疗1 h后症状、心率、呼吸频率、动脉血气二氧化碳分压的变化。结果对照组治疗1 h后症状消失57例(占50.4%),试验组治疗1 h后症状消失89例(占70.1%),两组患者症状消失率比较,差异有统计学意义(χ2=9.68,P<0.01)。治疗前两组患者心动过速、呼吸过快、低碳酸血症的发生率比较,差异均无统计学意义(P>0.05);治疗后两组患者心动过速、呼吸过快、低碳酸血症恢复正常率比较,差异均有统计学意义(P<0.05)。治疗前两组患者心率、呼吸频率、二氧化碳分压比较,差异均无统计学意义(P>0.05);治疗后两组患者心率、呼吸频率、二氧化碳分压比较,差异均有统计学意义(P<0.05)。结论面罩吸氧可以缓解过度换气综合征的症状,同时可以改善心率、呼吸频率及二氧化碳分压。面罩吸氧在快速治疗过度换气综合征中有实际临床价值。
Objective To discuss the effect of mask oxygen therapy in the treatment of hyperventilation syndrome.Methods 240 patients with hyperventilation syndrome admitted to the emergency department of our hospital from June 2008 to June 2011 were randomly divided into control group(113 cases) and experiment group(127 cases).The control group was given routine treatment combined with oxygen inhalation through nasal catheter,while the experiment group was given routine treatment combined with mask oxygen therapy.Symptoms,heart rate,respiratory rate and partial pressure of arterial carbon dioxide of the two groups were observed before the treatment and one hour after treatment.Results The symptoms disappeared in 57 cases(50.4%) in the control group after 1h of treatment and the symptoms disappeared in 89 cases(70.1%) in the experiment group after 1h of treatment.The difference of disappear rate between the two groups was statistically significant(χ2=9.68,P<0.01).Tachycardia rate,breathing too fast rate and hypocapnia incidence before treatment between the two groups showed no statistically significant differences(P>0.05).After treatment,the recovery to normal rates of heart rate,respiratory rate and carbon dioxide partial pressure between the two groups showed statistically significant differences(P<0.05).Before treatment,the heart rate,respiratory rate and carbon dioxide partial pressure showed no statistically significant differences(P>0.05).After treatment,the heart rate,respiratory rate and carbon dioxide partial pressure showed statistically significant differences(P<0.05).Conclusion Mask oxygen therapy can relieve the symptoms of hyperventilation syndrome,and can also improve heart rate,respiratory rate and partial pressure of carbon dioxide.Mask oxygen has practical clinical value in the rapid treatment of hyperventilation syndrome.
出处
《中国全科医学》
CAS
CSCD
北大核心
2012年第29期3413-3415,共3页
Chinese General Practice
关键词
过度换气综合征
面罩
心率
呼吸频率
二氧化碳分压
Hyperventilation syndrome
Masks
Heart rate
Respiratory rate
Partial pressure of carbon dioxide
