急性心力衰竭应用BiPAP呼吸机疗效分析  

Treatment Effect of Bilevel Positive Airway Pressure Ventilation in Patients with Acute Heart Failure

作　　者：惠波[1] 许文亮[1] 邵一兵[1] 王旭[1] 王燕[1] 刘玉昊[1] 刘虹[1] 张纯全[1] 徐莉[1] 

机构地区：[1]青岛市市立医院东院区心内科,山东青岛266071

出　　处：《现代生物医学进展》2012年第6期1133-1136,共4页Progress in Modern Biomedicine

摘　　要：目的:分析急性心力衰竭(AHF)患者应用双水平正压通气(BiPAP)呼吸机治疗的效应。方法:95例急性左心衰竭患者随机分为:A组(应用BiPAP呼吸机治疗)43例和B组(对照组,常规治疗)52例。A组在常规药物治疗的基础上,每天应用BiPAP呼吸机无创通气12～24小时,全部用鼻罩;B组仅应用常规药物治疗。疗程均为5天。观察两组治疗前后临床疗效、B型利钠肽(BNP)、血气分析及心功能的变化。结果:显效率:BiPAP组69.8%,对照组46.2%,两组有显著差异(P<0.05)。两组心功能、BNP、血气分析,治疗后与治疗前相比均有显著差异(P<0.05),治疗后BiPAP组与对照组间比较有显著差异(P<0.05)。结论:BiPAP呼吸机能改善急性左心衰竭患者的症状、血气结果及心功能,还能降低BNP。Objective： To study the treatment effect of bilevel positive airway pressure（BiPAP） ventilation in patients with acute heart failure（AHF）.Methods： A total of 95 AHF patients were randomly divided into two groups： group A（treated with BiPAP,on the basis of conventional medicines,every day using the BiPAP ventilation for 12～24 h,completely using the nose cup,43 patients）;group B（control group,treated with conventional medicines,52 patients）.The treatment course was 5 days.BNP,the arterial blood gas and the cardiac function were measured before and after treatment.Results： The excellence effective rate of the group A were 69.8%.BNP and arterial blood gas in two group had remarkable difference（P0.05）.A%,while those of the group B were 46.2%（P0.05）.After treatment,cardiac function,th fter treatment,compared with the group B,the group A had more improvement（P0.05）.Conclusion： The BiPAP ventilation can not only improve the AHF patient＇s symptom,also improve the AHF patients arterial blood gas and cardiac function,and decrease the BNP.

关 键 词：BIPAP呼吸机 急性心衰 心功能 B型利钠肽 

分 类 号：R541.61[医药卫生—心血管疾病]