| 摘要: |
| ［摘要］ 目的 探讨BiPAP面罩式双水平正压通气治疗重症支气管哮喘的疗效。方法 选择重症支气管哮喘患者68例，随机抽样分为治疗组（33例）和对照组（35例）。治疗组在常规药物治疗基础上行BiPAP面罩式双水平正压通气治疗；对照组予单纯常规药物治疗。观察两组治疗前后的临床症状和血气分析的变化情况。结果 治疗组临床症状明显改善，血氧分压（PaO2）、血氧饱和度（SaO2）显著升高，二氧化碳分压（PaCO2）显著降低，与对照组比较差异有统计学意义(P<0.05)。结论 重症支气管哮喘在常规治疗的基础上加用BiPAP面罩式双水平正压通气治疗，可有效改善患者的临床症状、血气分析指标，疗效满意，安全，值得临床推广应用。 |
| 关键词: BiPAP呼吸机 无创通气 重症支气管哮喘 |
| DOI：10.3969/j.issn.1674-3806.2013.12.23 |
| 分类号:R 56 |
| 基金项目: |
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| Clinical efficacy of BiPAP by mask in the treatment of 33 patients with severe bronchial asthma |
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YAN Wen-mei,LIN Su-qin
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Department of Respiratory, Anxi County Hospital,Fujian 362400,China
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| Abstract: |
| ［Abstract］ Objective To investigate curative effect of noninvasive bi-level positive airway pressure ventilation on severe bronchial asthma.Methods Six-eight patients with severe bronchial asthma were randomly divided into 2 groups. The patients in 2 groups were given routine medication treatment after admission.While on the above basis,the treatment group(n=33) received bi-level positive airway pressure ventilation. The clinical symptoms and the indexes of arterial blood gas were observed before and after treatment.Results After treatment, the clinical symptoms,and the indexes of blood gas had significant improvement in the treatment group, PaCO2 decreased and PaO2 and SaO2 increased in the treatment group.The improvement in PaCO2, PaO2,and SaO2 in the treatment group were better than that in the control group(P<0.05).Conclusion Treatment of noninvasive bi-level positive airway pressure ventilation is effective for treating servere bronchial asthma. |
| Key words: BiPAP ventilator Noninvasive ventilation Severe bronchial asthma |
