论文部分内容阅读
目的探讨小儿哮喘持续状态应用无创正压通气(CPAP)治疗后临床症状的改善情况以及小儿哮喘持续状态应用CPAP的临床价值。方法选取2004—2009年开封市第一人民医院小儿哮喘持续状态患者57例,男32例,女25例。其中,26例(男15例,女11例)随机应用无创呼吸机辅助治疗为治疗组,CPAP应用S/T模式。余31例(男17例,女14例)为对照组,均采取了抗感染平喘抗过敏等药物治疗,组间差异无显著性。结果应用无创正压通气(CPAP)治疗的哮喘持续状态的患儿,在喘息状态缓解时间,肺部听诊双肺不能闻及哮鸣音或可闻及少量哮鸣音、三凹征缓解、呼吸下降至30次/分以下、心率下降至120次/分以下等各项指标缓解时间上,明显优于对照组。结论无创呼吸机辅助治疗小儿哮喘持续状态,可以改善换气功能并减少呼吸肌疲劳做功,是辅助治疗哮喘的有效方法,值得推广。
Objective To investigate the clinical symptoms of children with persistent asthma after noninvasive positive pressure ventilation (CPAP) and the clinical value of CPAP in children with persistent asthma. Methods 57 cases of pediatric asthma persistence in the First People’s Hospital of Kaifeng from 2004 to 2009 were selected, including 32 males and 25 females. Among them, 26 cases (15 males and 11 females) were randomly assigned to non-invasive ventilator-assisted therapy as the treatment group, and SAP / T mode was used for CPAP. In the remaining 31 cases (17 males and 14 females) as the control group, anti-allergic and anti-allergic drugs such as anti-infectives were taken, with no significant difference between the two groups. Results In children with persistent asthma treated with noninvasive positive pressure ventilation (CPAP), wheezing relief time, lung auscultation lungs can not smell wheezing or can be heard a small amount of wheeze, three concave signs of relief, breathing Down to 30 beats / min, heart rate dropped to 120 beats / min and other indicators of remission time, significantly better than the control group. Conclusion Noninvasive ventilator-assisted adjuvant treatment of persistent asthma in children can improve ventilatory function and reduce respiratory muscle fatigue work, is an effective adjuvant treatment of asthma is worth promoting.