早期应用无创呼吸机在急性左心衰急救中的效果观察  

Effect of early application of noninvasive ventilation on the first-aid of acute left heart failure

作　　者：郑鲲[1] 谭娟[1] 冯辉斌[1] 

机构地区：[1]湖北省黄石市中心医院ICU,湖北黄石435000

出　　处：《广东医学院学报》2015年第2期224-226,共3页Journal of Guangdong Medical College

摘　　要：目的观察早期应用无创呼吸机在急性左心功能衰竭急救中的疗效及应用价值。方法选取我科76例急性左心功能衰竭患者,随机分为研究组和对照组,每组38例。对照组采用常规药物疗法,研究组在患者入科即应用无创呼吸机联合常规药物疗法。观察两组的疗效及生命体征、血气分析变化情况。结果研究组总有效率92.1%,明显高于对照组的52.6%,差异有统计学意义(P<0.05);治疗后研究组的生命体征、血气分析比对照组改善明显(P<0.05)。结论早期应用无创呼吸机对急性左心功能衰竭的急救效果较好,可以有效缓解患者症状,值得在基层单位推广。Objective To observe the curative effect and application value of early application of noninvasive ventilator in the first-aid of acute left heart failure. Methods 76 cases with acute left heart failure patients selected from our department were randomly divided into Research Group and Control Group with 38 cases in each group. Routine drug therapy was used for Control Group noninvasive ventilator in combination with routine drug therapy was used for Research Group since the admission. The curative effect as well as the change of life signs and blood gas analysis of the two groups were observed. Results The total effective rate in Research Group was 92.1% and significantly higher than that in Control Group which was 52.6%, and there was statistical difference（P〈0.05）. The life signs and blood gas analysis of Research Group was significantly improved compared with Control Group（P〈0.05）. Conclusion Early application of noninvasive ventilator in the first-aid of acute left heart failure has a better curative effect, and can effectively alleviate the symptoms, which is worthy of being promoted in grass-root units.

关 键 词：无创呼吸机 急性左心功能衰竭 急救 

分 类 号：R541.6[医药卫生—心血管疾病]