应用有创呼吸机中无创正压通气CPAP模式治疗急性左心衰竭的研究  

Study on CPAP model of non-invasive positive pressure ventilation in applying invasive ventilator treating acute left heart failure

作　　者：冯新辉 胡高飞[1] 刘福金[1] 

机构地区：[1]江西省信丰县中医院,江西信丰341600

出　　处：《中国当代医药》2016年第29期42-44,共3页China Modern Medicine

基　　金：江西省赣州市指导性科技计划任务(GZ2015ZSF403)

摘　　要：目的 研究应用有创呼吸机中无创正压通气CPAP模式治疗急性左心衰竭的临床效果。方法 选择我院2015年1月~2016年6月收治的急性左心衰竭患者60例,采用随机数字表法将患者分为对照组和治疗组,每组30例。对照组采用高流量吸氧加常规药物治疗;治疗组采用有创呼吸机中无创正压通气CPAP模式加常规药物治疗。比较两组的治疗效果。结果 治疗组治疗后的血气分析指标水平与对照组比较,差异有统计学意义（P〈0.05）;治疗组的临床效果明显优于对照组（P〈0.05）;治疗组的不良反应发生情况与对照组比较,差异无统计学意义（P〉0.05）。结论 应用有创呼吸机中无创正压通气CPAP模式治疗急性左心衰竭的临床效果非常明显。Objective To study the clinical effect of continuous positive airway pressure （CPAP） mode of noninvasive positive pressure ventilation in applying invasive ventilator treating acute left heart failure.Methods 60 patients with a- cute left heart failure treated by our hospital from January 2015 to June 2016 were selected and divided into control group and treatment group according to the random number table,and there were 30 cases in each group.Control group was treated with inhalation of oxygen via high-flow plusing conventional drug,while treatment group was treated with CPAP model of non-invasive positive pressure ventilation in applying invasive ventilator plusing routine drug,Treatment effect between the two groups was compared.Results There was a statistical difference of blood gas analysis index level of treatment group compared with control group （P〈0.05）.The clinical effect of treatment group was obviously superior to control group （P〈0.05）.There was no statistical difference of incidence of adverse reaction in treatment group com- pared with control group （P〉0.05）.Condusion Clinical effect of CPAP model of non-invasive positive pressure ventila- tion in applying invasive ventilator treating acute left heart failure is very obvious.

关 键 词：有创呼吸机 无创正压通气 CPAP模式 急性左心衰竭 

分 类 号：R541.6[医药卫生—心血管疾病]