无创呼吸机在急性左心衰竭患者急诊救治中的应用价值分析  

Analyze the application value of noninvasive ventilator in the emergency treatment of patients with acute left heart failure

作　　者：张卉 何晓丽 ZHANG Hui;HE Xiaoli(Department of Inner Family,Dahua Group Co.,Ltd,Dalian,Liaoning,116033,China)

机构地区：[1]大化集团有限责任公司医院内一科,辽宁大连116033

出　　处：《当代医学》2023年第14期50-53,共4页Contemporary Medicine

摘　　要：目的探讨无创呼吸机在急性左心衰竭患者急诊救治中的应用价值。方法选取2019年3月至2020年8月本院急诊救治的76例急性左心衰竭患者作为研究对象,随机分为对照组与观察组,每组38例。对照组采取面罩吸氧治疗,观察组采取无创呼吸机治疗。比较两组治疗前后血气指标[心率(HR)、呼吸频率(RR)、平均动脉压(MAP)、血氧分压(PaO_(2))]、N末端脑钠肽前体(NT-proBNP)、乳酸(LAc)水平及临床疗效。结果治疗前,两组HR、RR、MAP、PaO_(2)比较差异无统计学意义;治疗后,两组HR、RR均慢于治疗前,MAP均低于治疗前,PaO_(2)均高于治疗前,且观察组HR、RR均慢于对照组,MAP低于对照组,PaO_(2)高于对照组,差异有统计学意义(P<0.05)。治疗前,两组NT-proBNP、LAc水平比较差异无统计学意义;治疗后,两组NT-proBNP、LAc水平均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组治疗总有效率为92.11%,高于对照组的73.68%,差异有统计学意义(P<0.05)。结论无创呼吸机在急性左心衰竭患者急诊救治中的临床疗效显著,可改善患者血气指标,减轻心肌损伤,具有较高的应用价值。Objective To investigate the application value of noninvasive ventilator in the emergency treatment of patients with acute left heart failure.Methods 76 patients with acute left heart failure treated emergency treatment in our hospital from March 2019 to August 2020 were selected as the study subjects,and they were randomly divided into the control group and the observation group,with 38 cases in each group.The control group was treated with mask oxygen,and the observation group was treated with noninvasive ventilator.The blood gas indexes(heart rate[HR],respiratory rate[RR],mean arterial pressure[MAP],partial pressure of oxygen[PaO_(2)]),N-terminal pro-B-type natriuretic peptide(NT-proBNP),lactic acid(LAc)levels before and after treatment and clinical efficacy were compared between the two groups.Results Before treatment,there were no significant difference in HR,RR,MAP and PaO_(2) between the two groups;after treatment,HR and RR of the two groups were slower than before treatment,MAP was lower than before treatment,and PaO_(2) was higher than before treatment,and HR and RR in the observation group were slower than the control group,MAP was lower than the control group,PaO_(2) was higher than the control group,and the differences were statistically significant(P<0.05).Before treatment,there were no significant difference in NT-proBNP and LAc levels between the two groups;after treatment,the levels of NT-proBNP and LAc of two groups were lower than before treatment,and the observation group was lower than the control group,the differences were statistically significant(P<0.05).The total effective rate in the observation group was 92.11%,which was higher than 73.68%in the control group,and the difference was statistically significant(P<0.05).Conclusion Noninvasive ventilator has significant clinical effect in the emergency treatment of patients with acute left heart failure,which can improve the blood gas indexes of patients and reduce myocardial injury,and has high application value.

关 键 词：急性左心衰竭 无创呼吸机 心肌损伤 

分 类 号：R541.6[医药卫生—心血管疾病]