Curative effect of Ncpap combined with small dose of phentolamine in treatment of elderly patients with severe pneumonia
- VernacularTitle:Ncpap联合小剂量酚妥拉明治疗老年重症肺炎疗效观察
- Author:
Kai CHEN
1
;
Aihua SUN
Author Information
1. 浙江省绍兴市第六人民医院内科
- Keywords:
Ncpap;
Phentolamine;
Small dose;
Severe pneumonia
- From:
China Modern Doctor
2015;(11):29-31
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the clinical effect of nasal continuous positive airway pressure (Ncpap) combined with small dose of phentolamine in treatment of elderly patients with severe pneumonia. Methods A total of 95 cases of el-derly patients with severe pneumonia in our hospital from February 2013 to January 2014 were chosen. And they were randomly divided into the control group(47 cases) and the observation group(48 cases). The control group received the routine therapy combined with Ncpap, while the observation group was given the conventional treatment combined with Ncpap and small dose phentolamine treatment. The clinical symptom improvement time, the hospitalization time, blood gas index changes, the total efficiency of treatment in two groups were compared. Results The clinical symptoms disap-peared time (pulmonary rales, shortness of breath, cyanosis, liver retraction) and hospital stay of the observation group were significantly shorter than those in control group (P<0.05); After treatment 12 h, the blood gas(PaO2, PaCO2) in patients of the two groups were improved significantly than before treatment (P<0.05);And observation group blood gas improved better than the control group ( P<0 . 05 ); The total effective rate of the observation group and the control group was 95.8%and 85.1%, the total effective rate of observation group was higher than control group (P<0.05). Con-clusion Ncpap combined with small dose phentolamine are used in treatment of elderly patients with severe pneumonia, the symptoms of the patients are improved quickly, and with shorter hospital stay, the effect is significant, worthy of promotion.
