无创通气和有创通气对危重支气管哮喘的应用研究

叶涛¹
黄石市爱康医院

[摘要] 目的：探讨无创通气和有创通气对于危重支气管哮喘的治疗效果。方法：回顾性分析22例危重支气管哮喘患者的临床资料,其中10例是无创通气，12例是有创通气。结果：无创通气治疗组有效4例（40%），无效6例（60%），有创通气治疗组成功10例（83.3%），死亡（无效）2例（16.6%）。差异有显著性意义(P<0.05)。有创通气组PH,,PaO2,PaCO2，SaO2， R，HR改善明显。结论：有创通气组对于危重支气管哮喘的疗效优于无创通气组。

 [ABSTRACT] Objective ：To evaluate the effect of noninvasive and Invasive ventilation in patients with severe asthma. METHODS: 22 patients with severe asthmac were analyzed respoctively；10 patients with non-invasive ventilation,12 patients with invasive ventilation. RESULTS: 4 cases（40%） were effective in 10 non-invasive ventilation cases,  10 cases（83.3%）  were effective in 12 invasive ventilation cases, there were significant differences between the two groups(P<0.05), pH, PaCO2,PaO2, RR and HR were is significant improved in group of invasive ventilation.CONCLUSION: The effect of invasive ventilation for the treatment of severe asthma.is significant higher than the effect of non-invasive ventilation.