动态无创通气策略在急性左心衰意识障碍患者中的应用  

Application of Dynamic Noninvasive Ventilation Strategy for Patients with Acute Left Ventricular Failure Accompanying with Conscious Disturbances

作　　者：顾凌[1] 刘文威[1] 梁卫东[1] 施建曦[1] 

机构地区：[1]福建医科大学附属闽东医院急诊科,355000

出　　处：《岭南急诊医学杂志》2013年第2期94-95,共2页Lingnan Journal of Emergency Medicine

摘　　要：目的:探讨急性左心衰意识障碍患者的通气方法及疗效。方法:在常规治疗的基础上,将68例急性左心衰并意识障碍患者随机分成动态无创通气组(n=35)和有创通气组(n=33),比较两组患者机械通气前后的治疗效果。结果:两组患者经机械通气后呼吸困难均明显改善,在血气指标方面无统计学差异(P>0.05)。结论:意识障碍不是无创通气的绝对禁忌,动态无创通气策略与有创通气治疗急性左心衰竭的疗效相似,根据病情选择合适的机械通气方式是救治急性左心衰意识障碍患者的有效方法 。Objective： To explore the method and the effect of mechanical ventilation （MV） on patients with acute left ventricular failure （ALVF） accompanying with conscious disturbances. Methods： On base of routine therapy, 68 cases were randomly divided into two groups according to the methods of MV, dynamic strategy noninvasive ventilation group （n=35） and invasive ventilation group （n=33）.The treatment effects were compared between the two groups. Results： The symptoms of dyspnea were significantly improved after MV in the both groups, and there was no significantly difference in blood gas analysis （P〉0.05）. Conclusions： Conscious disturbance is not the absolute contraindication of noninvasive ventilation. The effects of dynamic strategy noninvasive ventilation and invasive ventilation on ALVF are similar. It is the effective treatment method to choose suitable MV according to the condition of ALVF.

关 键 词：急性左心衰 意识障碍 机械通气 通气策略 

分 类 号：R541.6[医药卫生—心血管疾病]