经面罩机械通气治疗慢性重症心力衰竭患者  

Face mask mechanical ventilation for treatment of severe chronic heart failure

作　　者：侯静静[1] 王齐兵[2] 朱蕾[1] 周京敏[2] 钮善福[1] 

机构地区：[1]复旦大学中山医院肺科,上海200032 [2]复旦大学中山医院心内科,上海200032

出　　处：《国外医学（呼吸系统分册）》2005年第12期907-909,共3页Section of Respiratory System Foreign Medical Sciences

摘　　要：目的研究经面罩机械通气(FMMV)对重症慢性心力衰竭(CHF)患者心肺功能的影响.方法回顾性分析12例重症CHF患者FMMV(治疗组)后的效果,并与传统药物治疗方法(对照组)比较.结果治疗组患者在30分钟内皆能较好耐受FMMV,呼吸困难减轻;2小时后症状明显改善,呼吸频率(RR)从(35±7)次/min降至(22±4)次/min(P<0.05),心率(HR)从(129±15)次/min降至(108±10)次/min(0.05);PaO2从(74±8)mmHg升至 (96±22)mmHg(P<0.05).对照组变化不明显,两组比较均有统计学差异(P均<0.05).治疗组3～5天基本缓解,住院时间5～14 (10±6)天,有效率100%.对照组住院时间12～31 (22±10)天,明显长于治疗组(P<0.05);62.5%的患者好转出院,明显低于治疗组(P<0.05).FMMV后无明显副作用.结论 FMMV可较快改善重症CHF患者的循环和呼吸功能,疗效显著.Objective To assess treatment of severe chronic heart failure （CHF） with face mask mechanical ventilation（FMMV）. Methods A retrospective case-control study was designed： 12 severe CHF patients failed to medications received FMMV in FMMV group; 16 cases with comparable baseline datun in control group received medications therapy. The outcome symptoms, signs and artery blood gases were analyzed. Results FMMV group show good compliance, dyspnoea was improved after 30 minutes of FMMV. Respiratory rates decreased from （35±7） /min to （22 ±4） /min （ P 〈0.05）, heart rates decreased from （129±15） /minto （108±10） /min （P 〈0. 05） , the PaO2 rose from （74±8）mmHg to （96±22） mmHg after 2 hours of FMMV（ P〈0.05）. There were no significant improvements in control group. There were statistic difference between two groups （ P〈0.05）. All cases in FMMV group were weaned from ventilator in 3 ~ 5 days, and discharged from hospital in day5-14 （10±6）. Duration of hospitalization in control group were 12-31 （22±10） ,longer than FMMV group （ P 〈0.05）. Survival rate of control group was 62.5% ,lower than that of FMMV group（ P〈0.05）. Conclusions Based on these datum FMMV has proved beneficial and quickly improvement in cardiac function and pulmonary function in severe CHF.

关 键 词：慢性心力衰竭 机械通气 气体交换 心功能 

分 类 号：R541.6[医药卫生—心血管疾病]