急诊早期无创BiPAP辅助治疗老年急性左心衰竭合并肺水肿的临床观察  

Clinical observation of early noninvasive BiPAP in the auxiliary treatment of senile acute left ventricular failure complicated with pneumonedema

作　　者：盛燚[1] 陈涵泳[1] 却岚[1] 吴龙川[1] 方春春[1] 陈琳[1] 

机构地区：[1]杭州师范大学医学院附属余杭医院急诊医学科,浙江杭州311100

出　　处：《中国现代医生》2012年第32期30-31,34,共3页China Modern Doctor

摘　　要：目的观察急诊早期无创BiPAP治疗对老年急性左心衰竭合并肺水肿的疗效。方法本研究采取前瞻性研究,选择急诊首诊的50例符合条件者,随机分成治疗组(25例)和对照组(25例),对照组常规治疗,治疗组在常规治疗基础上行早期无创通气,观察短期临床疗效、生理参数及超声心动图参数的变化。结果在临床效果上,治疗组优于对照组,差异有统计学意义(P<0.05);治疗后,治疗组与对照组比较,RR和PaO2降低,差异有统计学意义(P<0.05);两组治疗后,治疗组较对照组LVEF、SV、CI升高,差异均有统计学意义(P<0.05)。结论在常规治疗的基础上,急诊早期BiPAP辅助治疗老年急性左心衰竭、心功能Ⅳ级合并肺水肿的患者短期效果显著,值得推广。Objective To examine the effect of early noninvasive BiPAP in the treatment of senile acute left ventricular failure complicated with pneumonedema. Methods In this perspective study,50 eligible first-contact emergency patients were randomly divided into treatment group（25 cases） and control group（25 cases）. The control group received regular ther- apy, while the treatment group also underwent early noninvasive ventilation. Variations in short-term clinical effects, phys- iological parameters and echocardiogram parameters were observed. Results Clinically, the treatment group was better than the control group with statistical significance （P 〈 0.05） ; In comparison with the control group, RR and PaO2 were signifi- cantly lowered （P 〈 0.05）, LVEF,SV and CI were significantly increased in the treatment group （P〈 0.05）. Conclusion Early BiPAP based on regular therapy showed favorable short-term effects in the auxiliary treatment of senile acute left ventricular failure and in grade IV cardiac function complicated with pneumonedema, and therefore is worth promoting.

关 键 词：早期 无创通气 左心衰竭 肺水肿 

分 类 号：R541.6[医药卫生—心血管疾病]