急诊应用呼吸机治疗重症急性左心心力衰竭的临床疗效评价  

Clinical Efficacy of Ventilator in the Treatment of Severe Acute Left Heart Failure in Emergency

作　　者：王良兴[1] 郑建 Wang Liangxing,et al(Wenzhou Medical University ,Wenzhou 32503)

机构地区：[1]温州医科大学,温州325035

出　　处：《数理医药学杂志》2018年第8期1107-1109,共3页Journal of Mathematical Medicine

摘　　要：目的:探讨急诊应用呼吸机治疗重症急性左心心力衰竭的临床效果。方法:选取2015年3月~2016年9月期间某院收治的经确诊为重症急性左心衰竭的患者总计100例作为研究对象,随机分为观察组和对照组各50例,其中仅对对照组50例患者进行常规治疗,包括镇静、强心、扩血管和利尿治疗等;对研究组患者在对照组基础上辅以呼吸机进行治疗,观察分析两组患者的治疗效果。结果:研究组的总有效率96%明显高于对照组的总有效率70%,该差异具有统计学意义(P<0.05);治疗后观察组的pH值、PaO2、PaCO2、SaO2值均高于治疗前,HR、MAP值则低于治疗前,该差异具有统计学意义(P<0.05)。结论:重症急性左心衰竭患者可在常规治疗的基础上辅以呼吸机治疗,它不仅在使用过程中安全有效,而且可以快速改善患者的临床症状,纠正缺氧缺血现象,改善心功能,降低死亡率,在治疗中取得了良好的临床疗效。目前,使用无创呼吸机进行正压通气的症状性急性左心衰患者在临床实践中已得到广泛认可,值得临床推广应用。Objective：To investigate the clinical effect of ventilator in the treatment of severe acute left heart failure in emergency.Methods：A total of 100 patients with severe acute left heart failure treated in a hospital from March 2015 and September 2016 were selected as study subjects and randomly divided into observation group and control group,with 50 cases in each group.The control group was given routine treatment including sedation,cardiac stimulation,vasodilators,and diuretic therapy.The patients in the study group were treated with ventilators on the basis of the control group.The treatment effects of the two groups were observed and analyzed.Results：The total effective rate in the study group was 96%,which was significantly higher than that in the control group（70%）,and the difference was statistically significant（P〈0.05）.After treatment,the values of pH,PaO2,PaCO2,and SaO2 in the observation group were higher than those before treatment,and the HR and MAP values were lower than those before treatment,and the difference was statistically significant（P〈0.05）.Conclusion：Patients with severe acute left heart failure can be treated with a ventilator on the basis of conventional treatment.It is not only safe and effective in the course of use,but also can quickly improve the patient＇s clinical symptoms,correct the phenomenon of hypoxia-ischemia,improve heart function,reduce the mortality rate and achieve good clinical efficacy in treatment.At present,patients with symptomatic acute left heart failure using non-invasive ventilator for positive pressure ventilation has been widely recognized in clinical practice and is worthy of clinical application.

关 键 词：重症急性左心衰竭 呼吸机 临床疗效 

分 类 号：R459.7[医药卫生—急诊医学]