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目的:探究通过无创机械通气联合肾上腺激素氧化雾化疗法治疗危重症哮喘的疗效。方法:从我院呼吸内科2010年3月~2012年5月期间入院治疗的危重症哮喘患者中随机抽出100名分为两组,实验组患者选择用无创机械通气联合肾上腺激素氧化雾化疗法进行治疗,而对照组患者仅采用无创机械通气不联合肾上腺激素疗法,比较两组患者治疗的有效率,以及经过不同疗法治疗后两组患者的血气、FEV1、FEV1%情况的比较。结果:经过治疗,实验组患者的总有效率为86.00%,而对照组患者的为58.00%,差异有统计学意义(P<0.05),在两组患者治疗:后的血气以及FEV1、FEV1%数据的比较上,均可以得到P<0.05,具有统计学意义。结论:对于危重症的哮喘患者,有效的机械通气可以迅速的缓解患者的症状,而联合肾上腺激素治疗可以更好地使气管平滑肌松弛,舒张支气管,解除患者的支气管痉挛状态,恢复正常呼吸。
Objective: To investigate the efficacy of noninvasive mechanical ventilation combined with adrenal hormone oxidative nebulization in the treatment of critically ill asthma. Methods: A total of 100 patients were randomly divided into two groups. The patients in the experimental group were treated with noninvasive mechanical ventilation combined with adrenal hormone oxidative nebulization While the control group only received non-invasive mechanical ventilation combined with adrenal hormone therapy. The efficiency of treatment in both groups was compared, and the comparison of blood gas, FEV1 and FEV1% between the two groups after different therapies were compared. Results: After treatment, the total effective rate was 86.00% in the experimental group and 58.00% in the control group, the difference was statistically significant (P <0.05). After two groups of patients were treated: the blood gas and FEV1, FEV1% Data comparison, can be P <0.05, with statistical significance. CONCLUSIONS: In patients with critically ill asthma, effective mechanical ventilation can rapidly relieve symptoms in patients. Combined with adrenal hormone therapy can relax the tracheal smooth muscle, relax the bronchus, relieve bronchospasm and resume normal breathing.