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双水平气道正压通气治疗合并睡眠呼吸暂停综合征的慢性心力衰竭患者的疗效研究
引用本文:陈青,许建新,朱伟年. 双水平气道正压通气治疗合并睡眠呼吸暂停综合征的慢性心力衰竭患者的疗效研究[J]. 国际呼吸杂志, 2011, 31(7): 512-514. DOI: 10.3760/cma.j.issn.1673-436X.2011.007.008
作者姓名:陈青  许建新  朱伟年
作者单位:浙江省长兴县中医院心内科,湖州,313100
摘    要:
目的 观察双水平气道正压通气(BiPAP)对合并睡眠呼吸暂停综合征的慢性心力衰竭患者的治疗效果.方法 将符合标准的入选病例随机分为常规药物治疗组(A组)30例及常规药物+BiPAP治疗组(B组)30例.所有受试者随访2年并在试验前后分别榆测睡眠呼吸暂停低通气指数(AHI)、夜间血氧饱合度、左室射血分数、脑钠肽、6分钟步...

关 键 词:双水平气道正压通气  睡眠呼吸暂停综合征  慢性心力衰竭

Study of bi-level positive airway pressure in patients with chronic heart failure combined with sleep aprea hypopnea syndrome
CHEN Qing,XU Jian-xin,ZHU Wei-nian. Study of bi-level positive airway pressure in patients with chronic heart failure combined with sleep aprea hypopnea syndrome[J]. International Journal of Respiration, 2011, 31(7): 512-514. DOI: 10.3760/cma.j.issn.1673-436X.2011.007.008
Authors:CHEN Qing  XU Jian-xin  ZHU Wei-nian
Abstract:
Objective Observe the effect of bi-level positive airway pressure (BiPAP) in patients with chronic heart failure combined with sleep apnea hypopnea syndrome(SAHS). Methods 60 patients were randomly assigned to routine drug therapy group(group A) and routine drug therapy combined with BiPAP group(group B),30 patients in each group. After 2-year fellow up, apnea hypopnea index(AHI),nocturnal oximetry,left ventricular ejection fraction, brain natriuretic peptide,6-minute walk test, NYHA difference indicators of heart failure between the two groups were improved in varying degrees, group B AHI, nocturnal oximetry were markedly improved in group B, but the two both were deterioration in group A. Conclusions The effect of BiPAP was evident and can improve the prognosis obviously in patients with chronic heart failure combined with SAHS.
Keywords:Bi level positive airway pressure  Sleep apnea hypopnea syndrome  Chronic heart failure
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