呼吸机正压通气治疗急性左心衰的临床分析  

Clinical analysis of positive airway pressure mechanical ventilation on patients with acute left heart failure

作　　者：王映朝[1] 

机构地区：[1]广西灵山县人民医院重症医学科,广西灵山535400

出　　处：《右江医学》2013年第1期18-20,共3页Chinese Youjiang Medical Journal

摘　　要：目的探讨呼吸机正压通气治疗急性左心衰的临床疗效和安全性。方法应用随机数字表法将2010年8月～2012年8月我院住院治疗的112例急性左心衰患者分为A组和B组,每组56例,A组仅给予急性左心衰常规治疗,B组患者则加用呼吸机正压通气治疗,比较两组患者临床指标变化情况。结果 B组患者的动脉血气结果、心率、呼吸频率、血压和临床疗效显著优于A组患者,差异有统计学意义(P<0.05或<0.01)。结论呼吸机正压通气治疗急性左心衰临床疗效确切,安全可靠,优于传统治疗,值得进一步推广。Objective To investigate the clinical efficacy and safety of positive pressure mechanical ventilation on patients with acute left heart failure. Methods 112 cases with acute left heart failure,who hospitalized from Au- gust, 2010 to August, 2012 ,were divided into group A and group B by random, with 56 cases in each group. Group A were given conventional treatment for acute left heart failure. Group B were given positive pressure mechanical ventilation based on the conventional treatment. Then the changes of clinical indexes of both groups were compared. Results The arterial blood gas, heart rate, respiratory rate, blood pressure, and clinical efficacy of Group B improved signif- icantly better than Group A. There was statistical significance in the comparison between 2 groups（ P 〈0. 05 or P〈0.01）. Conclusion The clinical efficacy and safety of positive pressure mechanical ventilation on patients with acute left heart failure is positive. It is better than traditional treatment and worth popularizing.

关 键 词：呼吸机正压通气 急性左心衰 临床疗效 

分 类 号：R541.61[医药卫生—心血管疾病]