急诊ICU中急性心力衰竭合并呼吸衰竭患者使用无创呼吸机进行治疗的效果分析  

Analysis of the Effects of Using Noninvasive Ventilator for the Treatment of Patients with Acute Heart Failure Combined with Respiratory Failure in Emergency ICU

作　　者：于红 徐华兵 YU Hong;XU Huabing(Emergency ICU,Cao County People's Hospital,Heze 274400,Shandong,China)

机构地区：[1]曹县人民医院急诊ICU,山东菏泽274400

出　　处：《系统医学》2024年第22期127-130,共4页Systems Medicine

摘　　要：目的分析急性心力衰竭合并呼吸衰竭患者使用无创呼吸机进行治疗的效果。方法非随机选取2022年3月—2024年5月曹县人民医院收治的120例急性心力衰竭衰伴呼吸衰竭患者为研究对象,按照治疗方案不同分为常规组和研究组,各60例。常规组采用高流量吸氧治疗,研究组采用无创呼吸机治疗。比较两组患者的治疗有效率、呼吸功能、血气指标、不良反应。结果研究组的治疗有效率为91.67%(55/60),高于对照组的78.33%(47/60),差异有统计学意义(χ^(2)=4.183,P<0.05)。治疗后研究组患者呼吸功能指标优于常规组,差异有统计学意义(P均<0.05)。治疗后研究组患者氧分压高于常规组,二氧化碳分压低于常规组,差异有统计学意义(P均<0.05)。研究组不良反应发生率低于常规组,差异有统计学意义(P<0.05)。结论应用无创呼吸机治疗急性心力衰竭合并呼吸衰竭患者效果较好,可以改善患者的呼吸功能,减少不良反应的发生。Objective To analyze the effect of treatment with noninvasive ventilators in patients with acute heart failure combined with respiratory failure.Methods 120 patients with acute heart failure and respiratory failure admitted to Caoxian People's Hospital from March 2022 to May 2024 were non-randomly selected as the study subjects.They were divided into routine group and study group according to different treatment plans,60 cases in each group.The conventional group was treated with high-flow oxygen inhalation,and the study group was treated with non-invasive ventilator.The treatment efficiency,respiratory function,blood gas index and adverse reactions were compared between the two groups.Results The effective rate of treatment in the study group was 91.67%(55/60),which was higher than 78.33%(47/60)in the control group,the difference was statistically significant(χ^(2)=4.183,P<0.05).After treatment,the respiratory function index of the study group was better than that of the conventional group,and the differences were statistically significant(all P<0.05).After treatment,the partial pressure of oxygen in the study group was higher than that in the conventional group,and the partial pressure of carbon dioxide was lower than that in the conventional group,the differences were statistically significant(both P<0.05).The incidence of adverse reactions in the study group was lower than that in the conventional group,and the difference was statistically significant(P<0.05).Conclusion The application of noninvasive ventilator to treat patients with acute heart failure combined with respiratory failure has a better effect,which can improve the respiratory function of patients and reduce the occurrence of adverse reactions.

关 键 词：无创呼吸机 急诊重症监护病房 急性心力衰竭 呼吸衰竭 疗效 呼吸功能 血气指标 

分 类 号：R4[医药卫生—临床医学]