摘要
目的评价双水平无创正压通气治疗哮喘重度急性发作的疗效。方法收集双水平无创正压通气治疗哮喘重度急性发作的随机对照试验,检索英文数据库Pubmed、EMBASE和CENTRAL,中文数据库CNKI、中国生物医学文献数据库,制定文献的纳入和排除标准,用EndnoteX7软件进行文献管理,最后用森林图表示全部结果。结果常规治疗基础上加用双水平无创正压通气不能有效降低哮喘重度急性发作患者的气管插管率,但可有效改善入住普通病房患者的血气分析指标、降低其呼吸频率。结论常规治疗联合双水平无创正压通气能够有效治疗入住普通病房哮喘重度急性发作患者。
Objective To evaluate the curative effect of bi - level positive airway pressure noninvasive ventilation in severe acute exacerbation of asthma. Methods RCTs on bi - level positive airway pressure noninvasive ventilation treating a- cute attack of asthma adult patients were collected by searching English database of Pubmed, EMBASE and CENTRAL and Chinese database of CNKI and the Chinese Biological Medicine Database. The inclusion and exclusion criteira were deter- mined. The articles were managed by the software of Endnote X7. At last all the results were displayed by forest plot. Re- suits Conventional therapy plus bi - level positive airway pressure noninvasive ventilation can not effectively reduce the rate of tracheal cannula in severe acute exacerbation of asthma patients compared with the conventional therapy alone. However, noninvasive ventilation plus conventional therapy can improve the parameters of arterial blood gas and lower respiratory rate of severe acute exacerbation of asthma patients admitted to common ward. Conclusion Conventional therapy plus bi - level positive airway pressure noninvasive ventilation can effectively treat severe acute exacerbation of asthma patients.
出处
《现代医院》
2017年第4期535-539,共5页
Modern Hospitals
关键词
双水平正压无创通气
哮喘重度急性发作
随机对照试验
META分析
Bi - Level Positive Airway Pressure
Noninvasive Ventilation
Severe Acute Exacerbation of Asthma
Randomized Control Trail
Meta Analysis
