无创正压通气治疗急性心力衰竭的临床效果观察  

Clinical Observation of Noninvasive Positive Pressure Ventilation in the Treatment of Acute Heart Failure

作　　者：韩永艳[1] 

机构地区：[1]河南省商丘市第一人民医院重症监护室,河南商丘476000

出　　处：《中国医药指南》2017年第12期7-8,共2页Guide of China Medicine

摘　　要：目的观察无创正压通气治疗急性心力衰竭的临床效果。方法选取我院2013年6月至2015年7月急性心力衰竭患者67例,随机分为对照组(n=33)和观察组(n=34),对照组采用常规药物治疗,观察组加用无创正压通气治疗,对比两组治疗有效率和平均动脉压(MAP)、心率(HR)、二氧化碳分压(PCO_2)、呼吸频率(RR)及氧分压(PO_2)水平。结果治疗后7 d,观察组的有效率为76.47%(26/34),对照组的有效率为45.45%(15/33),观察组高于对照组,差异具有统计学意义(χ~2=6.784,P<0.05);治疗后24 h观察组各指标优于对照组,差异具有统计学意义(P<0.05)。结论无创正压通气治疗急性心力衰竭具有较高的可行性和实用性,值得推广应用。Objective To observe the clinical effect of Noninvasive positive pressure ventilation in the treatment of acute heart failure. Methods 67 patients with acute heart failure in our hospital from July 2015 to June 2013 were randomly divided into the control group （n=33） and the observation group （n=34）. The Control group was given conventional drug treatment; observation group were treated with noninvasive positive pressure ventilation therapy; The effective rate and mean arterial pressure （MAP）, heart rate （HR）, carbon dioxide partial pressure （PCO2）, respiratory rate （RR） and oxygen partial pressure （PO2） were compared between the two groups. Results After treatment, the effective rate of the observation group was 76.47% （26/34）; the control group was 45.45% （15/33）. The observation group was higher than that of the control group, and the difference was statistically significant （X^2=6.784, P〈 0.05）;in the 24 h after treatment observation group were better than the control group, the difference was statistically significant （P〈0.05）. Conclusion Noninvasive positive pressure ventilation in the treatment of acute heart failure has high feasibility and practicability, and it should be widely applied.

关 键 词：无创 急性心力衰竭 正压通气 

分 类 号：R541.6[医药卫生—心血管疾病]