摘要
目的探究无创呼吸机CPAP模式间断治疗对重症支气管哮喘肺功能及动脉血气指标的影响。方法对江苏省盐城市响水县人民医院2017年1月至2018年12月收治的100例重症支气管哮喘患者进行回顾性分析,按治疗方法分为对照A组和研讨B组,各50例。对照A组给予常规用药,研讨B组在常规用药的基础上给予无创呼吸机连续正压通气方式间隔治疗,治疗周期均为1个月。比照2组治疗后临床效果,对比2组治疗前后的肺功能和动脉血气分析结果指标。结果研讨B组的临床总有效率(92.00%)明显高于对照A组(80.00%)(P<0.05);与治疗前相比,治疗后的血氧饱和度、氧分压及用力肺活量(FVC)、第一秒用力呼气容积(FEV1)、第一秒用力呼气容积占用力肺活量比值(FEV1/FVC)升高,且研讨B组高于对照A组;治疗后的血氧化碳分压降低,且研讨B组低于对照A组(P<0.05)。结论重症支气管哮喘患者给予无创呼吸机连续正压通气方式间隔治疗疗效显著,可改善患者的血气分析指标水平,进而改善患者肺功能,值得进一步推行。
Objective To explore the effect of CPAP on pulmonary function and arterial blood gas in patients with severe asthma.Methods Retrospective observation was made on 100 cases of severe bronchial asthma admitted to xiangshui county people's hospital in yancheng city,jiangsu province from January 2017 to December 2018.According to the treatment method,the patients were divided into control group A and study group B,50 cases each.Control group A was given conventional medicine,study group B was given non-invasive ventilator continuous positive pressure ventilation mode interval treatment on the basis of conventional medicine,the treatment cycle was 1 month.The results of pulmonary function and arterial blood gas analysis were compared before and after treatment.Results The total clinical effective rate(92.00%)of study B group was significantly higher than that of control a group(80.00%)(P<0.05);compared with before treatment,the blood oxygen saturation,oxygen partial pressure and FVC,FEV1,FEV1/FVC of study B group were higher than that of control a group;the blood oxygen partial pressure of study B group was lower than that of control a group(P<0.05).Conclusion The effect of continuous positive pressure ventilation with non-invasive ventilator on severe asthma patients is significant.It can improve the level of blood gas analysis index,and then improve the lung function of patients.It is worth further promoting.
作者
杨美君
YANG Meijun(Xiangshui County People's Hospital,Yancheng,Jiangsu 224600,China)
出处
《大医生》
2019年第22期74-76,共3页
Doctor
关键词
重症支气管哮喘
CPAP
临床疗效
FEV1
FEV1/FVC
Severe bronchial asthma
continuous positive pressure ventilation with noninvasive ventilator
clinical effect
