早期无创通气用于抢救急性左心衰竭并呼吸衰竭临床观察  

作　　者：刘坤 胡婧[1] 

机构地区：[1]重庆市中医院急诊ICU,重庆400021

出　　处：《中国药业》2019年第S01期99-100,共2页China Pharmaceuticals

摘　　要：目的探讨早期无创通气在抢救急性左心衰竭并呼吸衰竭中的临床效果。方法选取医院2018年8月至2019年8月收治的急性左心衰竭并呼吸衰竭患者72例,按接诊顺序奇偶分为观察组和对照组,各36例。观察组患者予早期无创呼吸机通气辅助呼吸治疗,对照组患者予延迟无创呼吸机通气治疗。结果观察组总有效率为97.22%,显著高于对照组的66.67%(P<0.05);与治疗前比较,两组组患者治疗后的呼吸频率(RR)、动脉血氧分压(PaO2)、二氧化碳分压(PaCO2)均显著升高,平均动脉压、pH、呼吸频率(RR)均显著降低,且观察组患者上述指标改善程度均显著优于对照组(P<0.05)。结论无创呼吸机辅助呼吸治疗急性左心衰竭并呼吸衰竭,可改善患者的生活质量,明显纠正低氧血症、改善心功能。Objective To investigate the clinical application of early noninvasive ventilation in the treatment of acute left heart failure and respiratory failure.Methods Totally 72 patients with acute left heart failure and respiratory failure admitted to the hospital from August 2018 to August 2019 were randomly divided into observation group and control group,36 cases in each group.The patients in the observation group were treated with early noninvasive ventilation and assisted respiration,while the patients in the control group were treated with delayed noninvasive ventilation.Results The total effective rate of the observation group was 97.22%,which was significantly higher than 66.67%of the control group(P<0.05).Compared with those before treatment,the respiratory rate(RR),arterial oxygen partial pressure(PaO2),carbon dioxide partial pressure(PaCO2)of the two groups after treatment were significantly increased,the mean arterial pressure,pH,respiratory rate(RR)were significantly reduced,and the improvement degree of the above indicators in the observation group was significant better than that in the control group(P<0.05).Conclusion Noninvasive ventilator assisted respiration can improve the quality of life,hypoxemia and cardiac function in patients with acute left heart failure and respiratory failure.

关 键 词：左心衰竭并呼吸衰竭 临床疗效 早期无创通气 抢救 

分 类 号：R473[医药卫生—护理学]