无创性双水平气道正压通气治疗老年人心功能不全的探讨  

Evaluation of Noninvasive Bi-level Positive Airway Pressure Ventilation in Treatment of Elderly Patients with Heart Failure

作　　者：李仁立[1] 刘晓晴[1] 杨宗香[1] 凃玲 姚济华[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院,武汉430030

出　　处：《内科急危重症杂志》2004年第1期16-17,20,共3页Journal of Critical Care In Internal Medicine

摘　　要：目的 :本文观察BiPAP通气治疗 13例心功能不全低氧血症的老年患者的疗效。方法 :13例住院心衰患者均在心衰发作血氧饱和度低于 90 %后 ,使用BiPAP辅助通气。结果 :13例患者在BiPAP辅助呼吸后血氧饱和度均很快上升 ,由平均值 81.92± 3.2 9%增至 97.6 2± 1.2 1% ,血压均无明显下降。结论 :BiPAP机械通气方式可治疗心脏病心功能不全低氧血症的老年患者 ,优点为无创性、使用方便安全、疗效迅速可靠、并发症少。因此 。Objective: To investigate the effects of mechanical bi-level positive airway pressure (Bi-PAP) ventilation in 13 elderly patients with Heart failure associated with hypoxaemia. Methods : Thirteen elderly patients with heart failure received mechanical Bi-PAP ventilation when oxygen saturation was lower than 90%. Results: The mean oxygen saturation increased from 81.92± 3.29% to 97.62± 1.21% after using BiPAP ventilation. The blood pressure showed no significant change. Conclusion: Mechanical Bi-PAP ventilation is a noninvasive, convenient, safe and effective treatment for elderly patients with heart failure associated with hypoxaemia and may be regarded as one of routine therapeutic measures for those patients.

关 键 词：双水平气道正压通气 心功能不全 低氧血症 老年患者 

分 类 号：R541[医药卫生—心血管疾病]