BiPAP无创正压通气治疗急性心源性肺水肿疗效观察  

作　　者：胡媛琴[1] 林朱森[1] 刘树元[1] 李天杰[1] 王立秋[1] 

机构地区：[1]海军总医院急诊科,100048

出　　处：《浙江临床医学》2012年第6期659-661,共3页Zhejiang Clinical Medical Journal

摘　　要：目的观察无创双水平气道正压通气治疗急性心源性肺水肿的临床疗效及安全性。方法将48例急性心源性肺水肿患者分为两组，一组24例（治疗组）在药物治疗的同时采用BiPAP呼吸机进行无创通气治疗，另一组24例（对照组）用相同药物抢救的同时，辅以常规面罩吸氧治疗。观察两组治疗前后氧饱和度（Sa02）、呼吸频率（RR）、静息心率（RHR）及临床症状缓解所需时间。结果应用BiPAPke呼吸机无创正压通气治疗（治疗组）患者Sa02回升快，临床症状缓解迅速，与面罩吸氧（对照组）患者比较差异有统计学意义（P〈0．01）。结论BiPAP无创正压通气治疗急性心源性肺水肿能迅速纠正缺氧及改善心肺功能，提高抢救成功率，缩短病程。Objective To observe the effect of noninvasive bi-level positive airway pressure ventilation in the treatment of acute cardiogenic pulmonary edema clinical curative effect and safety. Methods 48 patients with acute cardiogenic pulmonary edema patients were divided into treatment group and control group, treatment group in drug treatment at the same time, using BiPAP ventilator for noninvasive ventilation treatment. The SaO2, respiratory rate （ RR ） , resting heart rate （ RHR ） and duration for clinical symptome to relieve were recorded and compared. Results The SaO2 in treatment group increased quickly, clinical symptoms relieved quickly, two groups had significant difference （P〈0.01）. Conclusion BiPAP noninvasive positive pressure ventilation in the treatment of acute cardiogenic pulmonary edema can quickly correct hypoxia and improve heart and lung fimction, improve the success rate, shorten the course of disease.

关 键 词：无创正压通气 急性肺水肿 疗效 

分 类 号：R541.63[医药卫生—心血管疾病]