氦氧混合气治疗支气管哮喘的实验研究与临床应用

The experimental study and preliminary clinical application of heliox mixtures in the treatment of bronchial asthma

  • 摘要: 目的:探讨氦氧混合气治疗支气管哮喘的机制并观察其疗效。方法:采用自身对照方法,观察氦氧混合气对7只杂种犬猪蛔虫抗原激发前、后的呼吸力学与血气的影响,进而将氦氧混合气疗法试用于3例应用机械通气治疗的慢性阻塞性肺疾病(COPD)患者。结果:(1)氦氧混合气可降低正常犬及哮喘犬气道阻力、气道峰压,节省呼吸功,其效果以哮喘犬为明显;(2)氦氧混合气可降低严重COPD患者的平均气道压;(3)氦氧混合气可减轻CO2潴留,使哮喘犬及COPD患者的PaCO2下降。结论:氦氧混合气疗法可应用于支气管哮喘的治疗,有CO2潴留者疗效更佳

     

    Abstract: Objective:To evaluate the mechanism and the effects of breathing Helium-oxygen (heliox) mixtures on bronchial asthma.Methods:Self-control study was adopted. Seven mongrel dogs were randomly ventilated either with Air (FiO2 0.21) or with heliox mixtures (FiO2 0.21) for 20 mins. Respiratory mechanical parameters and artery blood gas were taken at the end of 20 mins period. Further more, each dog was challenged by an Ascaris antigen for 10 mins, then was randomly ventilated either with Air (FiO2 0.21) or with heliox mixtures (FiO2 0.21) for 20 mins. The same parameters were taken at the end of every 10 minperiod. On the basis of the animal experiment, we used the Heliox mixtures to three ventilated chronic obstructive pulmonary disease (DOPD) patients. Results:(1)Heliox mixtures can reduce airway resistance, peak airway pressure and work of breathing in non-challenged dogs and in antigen challenged dogs. (2)Heliox mixtures can also reduce airway resistance, peak airway pressure and mean airway pressure in three ventilated COPD patients. (3)Heliox mixtures can decrease CO2 retention in antigen challenged dogs and COPD patients.Conclusion:Heliox mixtures can be used in the treatment of bronchial asthma, especially for patients with CO2 retention.

     

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