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目的分析经鼻持续气道正压通气在小儿重度支气管哮喘急性发作治疗中的效果。方法选取商丘市第一人民医院2013年3月—2015年11月收治的108例重度支气管哮喘患儿为研究对象,根据治疗的不同随机分为观察组和对照组各54例,对照组患者采取常规治疗,观察组患者在对照组治疗基础上加用经鼻持续气道正压通气治疗,治疗后分析两组患者血气、肺功能、不良反应。结果观察组患者治疗后血气分析、肺功能的改善均显著优于对照组,差异具有统计学意义(P<0.05);两组患者不良反应对比差异无统计学意义(P>0.05)。结论经鼻持续气道正压通气在小儿重度支气管哮喘急性发作治疗中效果良好,患者血气佳,肺功能明显改善,不良反应少,安全性高。
Objective To analyze the effect of nasal continuous positive airway pressure ventilation in the treatment of acute exacerbation of pediatric severe bronchial asthma. Methods The 108 patients with severe bronchial asthma admitted to the First People’s Hospital of Shangqiu City from March 2013 to November 2015 were selected as study subjects and randomly divided into observation group (54 cases) and control group (54 cases) according to different treatment. Patients in control group Conventional treatment, observation group patients in the control group plus nasal continuous positive airway pressure treatment, after treatment, two groups of patients were analyzed blood gas, lung function, adverse reactions. Results After treatment, the blood gas analysis and lung function improvement of the observation group were significantly better than that of the control group (P <0.05). There was no significant difference in adverse reactions between the two groups (P> 0.05). Conclusion Nasal continuous positive airway pressure in children with acute asthma attack with good effect, good blood gas, lung function was significantly improved, fewer adverse reactions, high safety.