摘要
目的了解无创正压通气对中重度支气管哮喘发作治疗的效果。方法 18例对常规治疗效果不佳的中重度哮喘发作患者,加用NPPV2～6h后,观察其对呼吸频率,心率、血压、血氧饱和度、酸碱值、动脉氧分压、动脉二氧化碳分压的影响和变化。结果经加用NPPV治疗后RR、HR、Bp、PaCO2降低,SaO2、pH、PaO2改善明显,差异有统计学意义(P<0.05)。结论 NPPV能改善哮喘患者的通气、氧合状态,有利于病情的改善,且使用方便,与有创通气相比,NPPV治疗哮喘优越可靠。
Objective To understand the treatment effect of noninvasive positive pressure ventilation in moderate to severe bronchial asthma attack. Methods NPPV was added to treat 18 cases of poorly effect to conventional treatment in the moderate to severe asthma attack patients. After 2-6 hours,observed the changes of respiratory rate,heart rate,blood pressure,oxygen saturation,pH,arterial oxygen tension and arterial carbon dioxide partial pressure caused by NPPV in the above patients. Results After treatment by the addition of NPPV,RR,HR,Bp and PaCO2 was lower,and SaO2,pH and PaO2 improved significantly.The differences before and after treatment were statistically significant （P〈0.05）. Conclusion NPPV can improve the ventilation and oxygenation state of patients with asthma, then conducive to the improvement of the condition,and easy to use.NPPV treatment of asthma,compared with invasive ventilation,is superior and reliable.
出处
《中国医药科学》
2013年第1期186-186,190,共2页
China Medicine And Pharmacy
关键词
无创正压通气
哮喘
治疗
Noninvasive positive pressure ventilation
Bronchial asthma
Treatment
