急诊无创正压通气治疗重症支气管哮喘伴呼吸衰竭患者的临床效果

目的 探讨急诊无创正压通气治疗重症支气管哮喘伴呼吸衰竭患者的临床效果.方法 选取2017年2月至2020年2月收治的60例重症支气管哮喘伴呼吸衰竭患者作为研究对象,根据随机化法将其分为对照组和试验组,每组30例.对照组给予常规疗法,试验组在常规疗法基础上给予急诊无创正压通气.比较两组的治疗效果.结果 试验组的治疗总有效...

Clinical effect of emergency noninvasive positive pressure ventilation in the treatment of patients with severe bronchial asthma and respiratory failure

Objective To explore the clinical effect of emergency noninvasive positive pressure ventilation in the treatment of patients with severe bronchial asthma and respiratory failure.Methods From February 2017 to February 2020,60 patients with severe bronchial asthma and respiratory failure were selected as the research objects and divided into control group and experimental group according to the randomization method,with 30 cases in each group.The control group was given conventional therapy,and the experimental group was given emergency noninvasive positive pressure ventilation on the basis of conventional therapy.The therapeutic effects of the two groups were compared.Results The total effective rate of treatment in the experimental group was higher than that in the control group(P<0.05).After treatment,PaO₂ and SaO₂ in the two groups were higher than those before treatment,while PaCO₂,OI and FiO₂ were lower than those before treatment,and those in the experimental group were better than the control group(P<0.05).After treatment,the levels of IL-8 and IL-17 in the two groups were lower than those before treatment,and those in the experimental group were lower than the control group(P<0.05).The total incidence of complications in the experimental group was lower than that in the control group(P<0.05).Conclusion Emergency noninvasive positive pressure ventilation in the treatment of patients with severe bronchial asthma and respiratory failure has significant effect,which can effectively improve the arterial blood gas indexes and inflammatory factor levels,and reduce the incidence of complications.