无创呼吸机联合吗啡对急性左心衰竭患者心功能及动脉血气分析指标的影响  

Effects of noninvasive ventilator combined with morphine on cardiac function and arterial blood gas analysis in patients with acute left heart failure

作　　者：陈杰明 王金莉 穆恩 CHEN Jie-ming;WANG Jin-li;MU en(Department of critical medicine,Bao'an District Central Hospital,Shenzhen 518100,China)

机构地区：[1]深圳市宝安区中心医院重症医学科,广东深圳518100

出　　处：《吉林医学》2021年第7期1616-1618,共3页Jilin Medical Journal

摘　　要：目的:探讨无创呼吸机联合吗啡应用于急性左心衰竭患者的临床效果。方法:将2017年12月~2019年11月深圳市宝安区中心医院收治的49例急性左心衰竭患者作为研究对象,根据临床治疗方案将对象分为研究组26例和对照组23例;对照组单独使用无创呼吸机治疗,研究组在此基础上联合使用吗啡治疗,比较两组患者的临床救治效果。结果:研究组患者临床治疗有效率92.31%,高于对照组患者的82.61%,差异有统计学意义(P<0.05)。研究组患者治疗后各项心功能指标(左心室舒张末期内径、左心室收缩末期内径、B型氨基端利钠肽原及左心射血分数)、动脉血气分析指标(动脉血氧分压、动脉血二氧化碳分压)及生命体征指标均优于对照组患者,差异均有统计学意义(P<0.05)。结论:以无创呼吸机联合吗啡的方案治疗急性左心衰竭整体效果更为理想,值得借鉴。Objective To explore the clinical effect of noninvasive ventilator combined with morphine in acute left heart failure.Method 49 patients with acute left heart failure from December 2017 to November 2019 were divided into study group(n=26)and control group(n=23)according to the clinical treatment plan;the control group was treated with noninvasive ventilator alone,and the study group was treated with morphine on this basis to compare the clinical treatment effect of the two groups.Results Data statistics showed that the effective rate of clinical treatment in the study group was 92.31%,higher than 82.61%in the control group,with statistical significance between the groups(P The indexes of arterial carbon dioxide and vital signs were better than those of the control group,and there was statistical significance between the data groups(P<0.05).Conclusion The combination of noninvasive ventilator and morphine is more effective in the treatment of acute left heart failure.

关 键 词：急性左心衰竭 无创呼吸机 吗啡 心功能 动脉血气分析 

分 类 号：R541.6[医药卫生—心血管疾病]