无创正压通气在治疗急性左心衰竭中的应用  

The application value of noninvasive positive pressure ventilation for acute left heart failure

作　　者：杜巍[1] 刘继宁[1] 吕汝奇[1] 罗正海[1] 王英[1] 

机构地区：[1]绵阳市中心医院急诊科,四川省绵阳621000

出　　处：《中国基层医药》2010年第13期1772-1773,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 探讨无创正压通气在治疗急性左心衰竭中的应用价值.方法 急性左心衰竭患者86例,随机分为研究组和对照组,每组43例.对照组患者给予常规治疗方法,而研究组患者则采用呼吸机进行无创正压通气治疗.结果 研究组患者显效率60.5%（26例）和总有效率95.4%（41例）均明显提高,而无效率明显降低;与此同时,研究组患者治疗后HR和RR均明显降低,而PaO2和SaO2则明显提高,与对照组相比,均差异有统计学意义（P＜0.05）.结论 采用无创正压通气治疗急性左心衰竭,疗效确切,效果显著.Objective To explore the application value of noninvasive positive pressure ventilation for acute left heart failure. Methods 86 patients with acute left heart failure were selected and randomly divided into study group and control group,43 patients in each group. Two groups of patients after diagnosis,the control group were treated with conventional treatment, while patients in the study group were given breathing machine with noninvasive positive pressure ventilation treatment. Results Compared with control group,the efficiency and total effective rate in the study group were significantly increased, but the ineffictive rate significantly lower, there were significant differences （P〈0. 05）. At the same time,patients in the study group,HR and RR were significantly decreased,while PaO2 and SaO2 treatment were significantly higher, there were significant differences （P 〈 0. 05）. Conclusion Use of noninvasive positive pressure ventilation for acute left heart failure,its effects were positive,significant effect on the treatment of acute left heart failure is of great clinical value.

关 键 词：心力衰竭 充血性 连续气道正压通气 

分 类 号：R541[医药卫生—心血管疾病]