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无创正压通气在治疗急性左心衰竭中的应用
引用本文:杜巍,刘继宁,吕汝奇,罗正海,王英.无创正压通气在治疗急性左心衰竭中的应用[J].中国基层医药,2010,17(13):1772-1773.
作者姓名:杜巍  刘继宁  吕汝奇  罗正海  王英
作者单位:绵阳市中心医院急诊科,四川省绵阳,621000
摘    要:目的 探讨无创正压通气在治疗急性左心衰竭中的应用价值.方法 急性左心衰竭患者86例,随机分为研究组和对照组,每组43例.对照组患者给予常规治疗方法,而研究组患者则采用呼吸机进行无创正压通气治疗.结果 研究组患者显效率60.5%(26例)和总有效率95.4%(41例)均明显提高,而无效率明显降低;与此同时,研究组患者治疗后HR和RR均明显降低,而PaO2和SaO2则明显提高,与对照组相比,均差异有统计学意义(P<0.05).结论 采用无创正压通气治疗急性左心衰竭,疗效确切,效果显著.

关 键 词:心力衰竭,充血性  连续气道正压通气

The application value of noninvasive positive pressure ventilation for acute left heart failure
DU Wei,LIU Jining,LV Ru-qi,LUO Zheng-hai,WANG Ying.The application value of noninvasive positive pressure ventilation for acute left heart failure[J].Chinese Journal of Primary Medicine and Pharmacy,2010,17(13):1772-1773.
Authors:DU Wei  LIU Jining  LV Ru-qi  LUO Zheng-hai  WANG Ying
Institution:DU Wei(Department of Emergency,Mianyang Central Hospital in Sichuan Province,Mianyang,Sichuan 621000,China) LIU Jining(Department of Emergency,Mianyang Central Hospital in Sichuan Province,Mianyang,Sichuan 621000,China) LV Ru-qi(Department of Emergency,Mianyang Central Hospital in Sichuan Province,Mianyang,Sichuan 621000,China) LUO Zheng-hai(Department of Emergency,Mianyang Central Hospital in Sichuan Province,Mianyang,Sichuan 621000,China) WANG Ying(Department of Emergency,Mianyang Central Hospital in Sichuan Province,Mianyang,Sichuan 621000,China)
Abstract:Objective To explore the application value of noninvasive positive pressure ventilation for acute left heart failure. Methods 86 patients with acute left heart failure were selected and randomly divided into study group and control group,43 patients in each group. Two groups of patients after diagnosis,the control group were treated with conventional treatment, while patients in the study group were given breathing machine with noninvasive positive pressure ventilation treatment. Results Compared with control group,the efficiency and total effective rate in the study group were significantly increased, but the ineffictive rate significantly lower, there were significant differences (P<0. 05). At the same time,patients in the study group,HR and RR were significantly decreased,while PaO2 and SaO2 treatment were significantly higher, there were significant differences (P < 0. 05). Conclusion Use of noninvasive positive pressure ventilation for acute left heart failure,its effects were positive,significant effect on the treatment of acute left heart failure is of great clinical value.
Keywords:Heart failure  congestive  Continuous positive airway pressure
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