无创正压通气治疗急性重症心力衰竭的临床疗效  

Analysis of Clinical Efficacy of Non-Invasive Positive Pressure Ventilation in the Treatment of Acute Severe Heart Failure

作　　者：王安宁 张丹嗣 刘丹舟 陈龙 项成博 WANG Anning;ZHANG Dansi;LIU Danzhou;CHEN Long;XIANG Chengbo(Fuxin Mining General Hospital,Liaoning Health Industry Group,Fuxin 123000,China)

机构地区：[1]辽宁省健康产业集团阜新矿总医院,辽宁阜新123000

出　　处：《中国医药指南》2023年第8期50-53,共4页Guide of China Medicine

摘　　要：目的评价无创正压通气对急性重症心力衰竭患者实施治疗的价值。方法将2021年1~12月与我院治疗的84例急性重症心力衰竭患者随机分为观察组和对照组,各42例。对两组患者实施常规的治疗,观察组在常规基础上联合无创正压通气,比较不同治疗之后的疗效、血压水平、呼吸频率、心率、并发症发生概率、心功能及血气分析指标等。结果①观察组(40例,占95.24%)的临床疗效价值比对照组(34例,占80.95%)高,差异有统计学意义(P<0.05)。②治疗前,两组血压、呼吸频率、心率差异无统计学意义(P>0.05)。治疗后,观察组血压、呼吸频率、心率均比对照组改善理想,差异有统计学意义(P<0.05)。③治疗后,观察组(3例,占7.14%)并发症概率比对照组(11例,占26.19%)低,差异有统计学意义(P<0.05)。④治疗前,两组的LVEF、LVEDD、6MWD差异无统计学意义(P>0.05),治疗后,观察组的LVEF、LVEDD、6MWD改善效果更为显著,差异有统计学意义(P<0.05)。⑤治疗前,两组的PaO_(2)、PaCO_(2)、pH等差异无统计学意义(P>0.05),治疗后,观察组的PaO_(2)、PaCO_(2)、pH改善效果更为显著,差异有统计学意义(P<0.05)。结论在常规治疗基础上对患者实施无创正压通气可实现对急性重症心力衰竭患者的治疗,能够提升治疗的有效率,稳定患者的各项生命指标,降低并发症的出现概率,改善患者的心功能和血气分析指标。Objective To evaluate the value of non-invasive positive pressure ventilation in the treatment of patients with acute severe heart failure.Methods All 84 patients with acute severe heart failure treated in our hospital from January 2021 to December 2021 were randomly divided into observation group and control group,with 42 cases respectively.The two groups of patients were given routine treatment.The observation group was combined with non-invasive positive pressure ventilation on the basis of routine treatment.The curative effect,blood pressure level,respiratory rate,heart rate,incidence of complications,cardiac function and blood gas index after different treatment were compared.Results(1)The clinical efficacy value of the observation group(40 cases,95.24%)was higher than that of the control group(34 cases,80.95%),with significant statistical difference(P<0.05).(2)Before treatment,there was no significant difference in blood pressure,respiratory rate and heart rate between the two groups(P>0.05).After treatment,the blood pressure,respiratory rate and heart rate in the observation group were better than those in the control group,with significant statistical difference(P<0.05).(3)After treatment,the incidence of complications in the observation group(3 cases,accounting for 7.14%)was lower than that in the control group(11 cases,accounting for 26.19%),with significant statistical difference(P<0.05).(4)Before treatment,there was no significant difference in LVEF,LVEDD and 6MWD between the two groups(P>0.05).After treatment,the improvement effect of LVEF,LVEDD and 6MWD in the observation group was more significant,with significant statistical difference(P<0.05).(5)Before treatment,there was no significant difference in PaO_(2),PaCO_(2) and pH between the two groups(P>0.05).After treatment,the improvement effect of PaO_(2),PaCO_(2) and pH in the observation group was more significant,with significant statistical difference(P<0.05).Conclusion Non-invasive positive pressure ventilation for patients on the basis of con

关 键 词：无创正压通气 急性重症心力衰竭 收缩压 舒张压 呼吸频率 

分 类 号：R541.6[医药卫生—心血管疾病]