无创正压通气治疗急性左心衰竭的效果探讨  

Curative Effect of Noninvasive Positive Pressure Ventilation on Acute Left Heart Failure

作　　者：黄建平 杨尚磊 HUANG Jianping;YANG Shanglei(Ningde Hospital Affiliated to Fujian Medical University,Ningde 352100,China)

机构地区：[1]福建医科大学附属宁德市医院,福建宁德352100

出　　处：《中外医学研究》2018年第15期16-18,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:观察无创正压通气治疗急性左心衰竭的临床效果。方法:将70例确诊为急性左心衰竭的患者随机分为两组,对照组34例患者采用传统治疗,观察组36例患者在传统药物治疗基础上采用无创正压通气治疗。观察两组治疗前后临床表现及实验室检查的变化,对比两组疗效。结果:治疗72 h后,观察组总有效率97.22%,明显高于对照组的76.47%,差异有统计学意义(P<0.05),治疗后,观察组PaO_2、PaCO_2、RR、HR、BNP指标改善均优于对照组,差异均有统计学意义(P<0.05)。结论:无创正压通气治疗急性左心衰竭效果较好,值得推广。Objective：To observe the clinical efficacy of non-invasive positive pressure ventilation in the treatment of acute left heart failure.Method：A total of 70 patients with acute left heart failure were randomly divided into two groups.34 patients in the control group were treated with traditional treatment,and 36 patients in the observation group were treated with non-invasive positive pressure ventilation on the basis of traditional drug treatment.The clinical and laboratory changes of the two groups before and after treatment were observed,and the curative effects of the two groups were compared.Result：After 72 hours treatment,the total effective rate of the observation group was 97.22%,which was significantly higher than that of the control group,the difference was statistically significant（P〈0.05）.After treatment,the improvement of the indexes of Pa O2,Pa CO2,RR,HR and BNP in the observation group were all better than those of the control group,the differences were statistically significant（P〈0.05）.Conclusion：Noninvasive positive pressure ventilation is effective in the treatment of acute left heart failure,and is worthy of promotion.

关 键 词：急性左心衰竭 无创呼吸机 持续气道正压通气 

分 类 号：R541.6[医药卫生—心血管疾病]