无创正压通气治疗急性左心力衰竭合并呼吸衰竭的疗效观察  

The curative effect observation of noninvasive positive pressure ventilation in the treatment of acute left heart failure combined with respiratory failure

作　　者：林晓军[1] 陈淼[1] 曾红科[1] 胡北[1] 何楷然[1] 陈纯波[1] 

机构地区：[1]广东省医学科学院.广东省人民医院急危重症医学部,广东广州510080

出　　处：《实用医院临床杂志》2013年第3期83-84,共2页Practical Journal of Clinical Medicine

摘　　要：目的观察无创正压通气治疗急性左心力衰竭(acute left heart failure,ALHF)合并呼吸衰竭的临床疗效。方法58例ALHF合并呼吸衰竭患者按数字随机法分为两组,对照组(n=28)采用常规方法治疗,观察组(n=30)在常规给予抗心力衰竭治疗的基础上予以无创正压通气,比较两组患者治疗前后心率、呼吸、血气分析指标变化以及临床疗效。结果观察组总有效率明显高于对照组(P<0.05),治疗后心率、呼吸、pH、PaO2、PaCO2、SaO2等指标较对照组均明显改善(P<0.05)。结论常规治疗的基础上予无创正压通气治疗ALHF合并呼吸衰竭能够增强疗效,值得临床推广应用。Objective To observe the curative effects of noninvasive positive pressure ventilation in the treatment of acute left heart failure combined with respiratory failure. Methods Fifty-eight patients with acute left heart failure combined with respiratory fail- ure were randomly divided into two groups, control group （n = 28） and observation group （n = 30）. The control group was treated with routine treatment while the observation group was treated with noninvasive positive pressure ventilation in addition to routine treatment. Changes of heart rate, respiration blood gas indexes, and clinical efficacy in the two groups before and after the treatment were com- pared. Results The total effective rate of the observation group （93.3%） was significantly higher than that of the control group （75.0%） （P 〈 0.05 ）. The heart rate, respiration, pH, PaO2, PaCO2, SaO2 in the observation group were significantly improved when compared to the control group （ P 〈 0.05 ）. Conclusions The treatment of noninvasive positive pressure ventilation for patients with a- cute left heart failure combined with respiratory failure had a good effect. It is worthy of clinical application.

关 键 词：无创正压通气 急性左心力衰竭 呼吸衰竭 

分 类 号：R563.8[医药卫生—呼吸系统] R541.6[医药卫生—内科学]