双水平无创正压通气在抢救重度急性左心衰合并Ⅱ型呼吸衰竭中的疗效观察  

Observation of efficacy of bi-level non-invasive positive pressure ventilation in the emergency treatment of severe acute left heart failure patients complicated with type Ⅱ respiratory failure

作　　者：牟燕飞[1] 王胜强[1] 廖开友[1] 徐燕[1] 吴毅[1] 

机构地区：[1]重庆市肿瘤研究所,重庆400038

出　　处：《临床肺科杂志》2013年第4期658-660,共3页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨无创正压通气在抢救重度急性左心衰合并Ⅱ型呼吸衰竭中疗效。方法选取我院急诊内科收治的重度急性左心衰竭合并Ⅱ型呼吸衰竭患者共60例分成观察组(双水平无创正压通气辅助治疗)和对照组(常规综合治疗),评价两组患者疗效。结果观察组治疗后呼吸频率、血压、心率,BNP、K+和Na+水平以及血气分析及氧动力学参数结果(PH、DO2、VO2以及PaO2水平)以及心功能指标(TEI指数、LVEF以及SV)均明显优于对照组(P<0.05);结论常规综合治疗基础上加用双水平无创正压可明显改善患者的生命体征和血气指标,改善心室功能。Objective To investigate the curative effect of bi-level non-invasive positive pressure ventilation in the emergency treatment of severe acute left ventricular failure patients complicated with type Ⅱ respiratory failure. Methods 60 cases of severe acute left ventricular failure complicated with type Ⅱ respiratory failure were randomly divided into two groups. The observation group was given hi-level non-invasive positive pressure ventilation adjuvant treatment, and the control group was given the conventional treatment. The cur- alive effect was evaluated between the two groups. Results The improvement of respiratory rate, blood pressure, heart rate, BNP, the levels of K ＋ and Na ＋ , blood gas analysis and oxygen kinetics parameter results （PH, DO2 , VO2 , and Pat2 level）, and heart function indicators （TEI index, LVEF, and SV） were more pronounced in the observation group than in the control group （P 〈 0.05 ）. Conclu- sion Based on the conventional treatment, bi-level non-invasive positive pressure ventilation can significantly improve the patient~ vital signs, blood gas analysis and the ventricular function.

关 键 词：双水平无创正压通气 重度急性左心衰 Ⅱ型呼吸衰竭 

分 类 号：R541.6[医药卫生—心血管疾病] R563.8[医药卫生—内科学]