无创正压通气治疗老年顽固性心力衰竭的疗效分析  

Curative effect analysis of non-invasive positive pressure ventilation in the treatment of senile refractory heart failure

作　　者：赵洪涛[1] 丁旭[1] 

机构地区：[1]大连市中心医院心内科,160000

出　　处：《中国实用医药》2015年第6期44-45,共2页China Practical Medicine

摘　　要：目的观察无创正压通气治疗老年顽固性心力衰竭的临床疗效。方法 70例老年顽固性心力衰竭患者,使用无创正压通气治疗,观察治疗前后的呼吸频率(RR)、心率(HR)和动脉血酸碱度(p H)、动脉血氧分压(Pa O2)、动脉血氧饱和度(Sa O2)等血气指标的变化。结果本组70例患者行无创正压通气治疗后,显效33例,有效28例,无效9例,总有效率87.14%,治疗后患者呼吸频率、心率、血气的各项指标较治疗前均有显著改善,差异有统计学意义(P<0.05)。结论无创正压通气是治疗老年顽固性心力衰竭的有效方法之一。Objective To observe the clinical effect of non-invasive positive pressure ventilation for senile refractory heart failure. Methods A total of 70 patients with senile refractory heart failure received noninvasive positive pressure ventilation for treatment. The changes of respiratory rate（RR）, heart rate（HR）, arterial blood potential of hydrogen（p H）, arterial partial pressure of oxygen（Pa O2）, and arterial oxygen saturation（Sa O2） were observed before and after treatment. Results Among the 70 cases receiving non-invasive positive pressure ventilation, there were 33 cases with excellent effect, 28 effective cases, and 9 ineffective cases, with the total effective rate as 87.14%. After treatment, patients＇ RR, HR, blood gas indexes were all improved than those before treatment, and the difference had statistical significance（P〈0.05）. Conclusion Non-invasive positive pressure ventilation is one of the effective methods for treating senile refractory heart failure.

关 键 词：老年 顽固性心力衰竭 无创正压通气 

分 类 号：R541.6[医药卫生—心血管疾病]