文章摘要

妊娠合并支气管哮喘急性发作临床分析

作者: 1许银霞
1 北京市通州区妇幼保健院内科,北京 101101
通讯: 许银霞 Email: 504707371@qq.com
DOI: 10.3978/j.issn.2095-6959.2020.07.013

摘要

目的:针对妊娠合并支气管哮喘急性发作患者的临床治疗方法及效果进行探究。方法:纳入2017年1月至2019年12月北京市通州区妇幼保健院门诊收治妊娠合并支气管哮喘患者56例,对其症状表现及临床治疗方法、治疗效果、妊娠结局等进行回顾性分析。结果:轻中度支气管哮喘孕妇通过吸氧、注射糖皮质激素、β2受体激动剂、补液等相关治疗效果显著,均在孕约40周正常分娩,未出现严重并发症。重度支气管哮喘孕妇在轻中度患者治疗基础上静脉注射氨茶碱、糖皮质激素药物等。其中1例孕妇于33周时终止妊娠,2例孕妇出现呼吸酸中毒情况,1例胎儿生长受限。结论:妊娠合并支气管哮喘患者急性发作时应及时予以治疗,降低对孕妇及胎儿的危害,利用氨茶碱、糖皮质激素等效果明显,可大范围普及运用。
关键词: 妊娠;支气管哮喘;急性发作;临床分析

Clinical analysis of acute exacerbation of bronchial asthma during pregnancy

Authors: 1XU Yinxia
1 Department of Internal Medicine, Tongzhou Maternal & Child Health Hospital of Beijing, Beijing 101101, Chin

CorrespondingAuthor: XU Yinxia Email: 504707371@qq.com

DOI: 10.3978/j.issn.2095-6959.2020.07.013

Abstract

Objective: To investigate the clinical treatment methods and effects of patients with pregnancy-induced acute bronchial asthma. Methods: The duration of this study was 3 years, starting from January 2017 and ending in December 2019. The study subjects selected 56 outpatients with pregnancy-associated bronchial asthma from our outpatient clinic. The symptoms, clinical treatment methods and treatment effects and pregnancy outcomes were retrospectively analyzed. Results: Pregnant women with mild to moderate bronchial asthma had significant effects through oxygen inhalation, injection of glucocorticoids, β2 receptor agonist, fluid replacement and other related treatments. All of them were delivered normally around 40 weeks of pregnancy, without serious complications. Severe bronchial asthma pregnant women receive intravenous theophylline and glucocorticoid drugs on the basis of treatment of mild to moderate patients. One pregnant woman terminated her pregnancy at 33 weeks, two pregnant women developed respiratory acidosis, and one had restricted fetal growth. Conclusion: Patients with pregnancy-associated bronchial asthma should be treated in time for acute exacerbations to reduce the harm to pregnant women and fetuses. The use of aminophylline and glucocorticoids has obvious effects and can be widely used.
Keywords: pregnancy; bronchial asthma; acute attack; clinical analysis

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