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无创呼吸机治疗支气管哮喘合并肺炎的临床效果

李敏菁 甄国粹 温业良 罗志扬 胡少芝

中国医学前沿杂志(电子版)Issue(3):130-133,4.
中国医学前沿杂志(电子版)Issue(3):130-133,4.

无创呼吸机治疗支气管哮喘合并肺炎的临床效果

Clinical efifcacy of noninvasive respirator in treating bronchial asthma combined with pneumonia

李敏菁 1甄国粹 1温业良 1罗志扬 1胡少芝1

作者信息

  • 1. 佛山市第一人民医院 呼吸内科,广东 佛山 528000
  • 折叠

摘要

Abstract

Objective To observe the clinical efifcacy of noninvasive respirator in treating bronchial asthma combined with pneumonia. Method 50 patients with bronchial asthma combined pneumonia admitted by the hospital chose from April 2013 to October 2013 in our hospital were divided into treatment group and control group by random indication method, 25 cases in each group. Patients in control group were treated with infection resistance, diprophylline and methyl prednisolone sodium succinate, bronchodilator, sputum excretion medicine and other symptomatic treatments. Patients in treatment group were combined with assisted respiration of noninvasive respirator on the basis of control group. The symptom scores at night and in the daytime, dyspnea, cough, disappearance time for dry and moisture rales, days of hospitalization, changes in levels of PaO2, PaCO2 and SaO2 levels before and after the treatment and efifcacy were observed and compared. Result The total effective rate in treatment group was 96.0%(24/25), signiifcantly higher than control group [60.0%(15/25)], the difference was signiifcant (P<0.05). After treatment daytime, nighttime symptom scores of the two groups were significantly higher than those before treatment, and scores of treatment group was signiifcantly higher than that of control group (P<0.05). Dififculty breathing, cough, lung wet rales and other signs disappeared time and days of hospitalization with the patients in treatment group after treatment were signiifcantly shorter than control group, difference was signiifcant (P<0.05). The two groups of patients after&nbsp;treatment, PaO2 and SaO2 levels were signiifcantly higher than those before treatment, the level of PaCO2 was lower than that before treatment, the difference was signiifcant (P<0.05). After treatment the levels of PaCO2 and SaO2 in treatment group patients were signiifcantly higher than control group, PaCO2 levels were lower than control group, the difference was signiifcant (P < 0.05). Conclusion Noninvasive respirator delivers signiifcant efifcacy on bronchial asthma combined pneumonia, and signiifcantly improve the clinical symptoms of patients and lung function, worthy of popularization and applications in clinical practices.

关键词

无创呼吸机/支气管哮喘/肺炎

Key words

Noninvasive respirator/Bronchial Asthma/Pneumonia

引用本文复制引用

李敏菁,甄国粹,温业良,罗志扬,胡少芝..无创呼吸机治疗支气管哮喘合并肺炎的临床效果[J].中国医学前沿杂志(电子版),2015,(3):130-133,4.

中国医学前沿杂志(电子版)

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1674-7372

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