BiPAP呼吸机治疗充血性心力衰竭临床观察  

Effect of bi-level positive airway pressure ventilation in patients with congestive heart failure

作　　者：倪卫兵[1] 孙华 陶志强[1] 高想[1] 宋倩[1] 俞海忠[1] 袁建芬[1] 

机构地区：[1]南通市中医院,江苏南通22600 [2]南通市虹桥医院

出　　处：《心血管康复医学杂志》2008年第6期567-569,共3页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的：观察双水平正压通气（BiPAP）呼吸机治疗充血性心力衰竭（CHF）的临床疗效。方法：60例CHF患者被随机分为：BiPAP治疗组（30例），在常规药物治疗的基础上，每天应用BiPAP呼吸机无创通气5～10h，全部用鼻罩；常规治疗组（对照组，30例），常规药物治疗。疗程均为7d。观察两组治疗前后临床疗效、B型利钠肽（BNP）、血气分析、生活质量评分的变化。结果：显效率：BiPAP组73．33％，对照组46．67％，两组有显著差异（P〈0．05）。两组心功能、BNP、血气分析、生活质量评分，治疗后与治疗前相比均有显著差异（P〈0．05～〈0．01），治疗后BiPAP组与对照组间比较有显著差异（P〈0．05～〈0．01）。结论：BiPAP呼吸机不仅能改善CHF患者的通气功能，也能改善CHF患者的心功能，提高患者生活质量。Objective： To study the treatment effect of bi-level positive airway pressure （BiPAP） ventilation in patients with congestive heart failure （CHF）. Methods： A total of 60 CHF patients were randomly divided into two groups： treatment group （treated with BiPAP, on the basis of conventional medicines, every day using the BiPAP ventilation for 5-10 h, completely using the nose cup, 30 examples）; conventional treatment group （control group, treated with conventional medicines, 30 examples）. The treatment course was 7 days. BNP, the arterial blood gas and the quality of lifegrades were measured before and after treatment. Results： The excellence rate and the total effective rate of the treatment group were 73. 33% and 96.67%, while those of the control group were 46.67% and 93.33% （P〈 0.05）. After treatment, the BNP, heart function, arterial blood gas and the quality of lifcgrades in two group had remarkable difference （P〈0. 05-0. 01）. After treatment, compared with the control group, the BiPAP group had more improvement （P〈0.05-0.01）. Conclusion： The BiPAP ventilation not only can improve the CHF patient＇s ventilation function, also improve the CHF patients heart function and quality of life.

关 键 词：正压通气 心力衰竭 充血性 治疗结果 

分 类 号：R541.61[医药卫生—心血管疾病]