| 机械通气对急性左心衰竭患者的临床干预观察与研究 |
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| 引用本文： | 陈哲明,胡颖,郑卫星,罗助荣,盖晓波.机械通气对急性左心衰竭患者的临床干预观察与研究[J].实用预防医学,2011,18(1):29-31. |
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| 作者姓名： | 陈哲明 胡颖 郑卫星 罗助荣 盖晓波 |
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| 作者单位： | 1. 南京军区福州总医院心内科,福建,福州,350025
2. 福州市第一医院呼吸内科 |
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| 摘 要： | 目的通过对比观察两种无创通气对急性左心衰竭患者的血流动力学、血气分析等方面的变化规律,比较机械通气对急性左心衰竭患者的临床干预效果。方法 66例左心衰竭患者分为三组,对照组按常规处理,PSV、PAV组在常规治疗基础上分别加用PSV、PAV行无创通气,对比三种治疗方法在治疗前后各项指标的变化。结果三组血流动力学指标（MAP、HR）治疗前差异无统计学意义（P〉0.05）。经治疗60 min后,三组MAP、HR均较治疗前明显下降（P〈0.05）,但治疗后三组间MAP、HR比较差异无统计学意义（P〉0.05）。三组治疗前RR、PaO2和氧合指数（PaO2/FiO2）差异无统计学意义（P〉0.05）。经治疗60 min后,三组RR、PaO2和氧合指数均较治疗前明显改善（P〈0.05）,其中治疗后PSV组与PAV组的氧合指数、PaO2较对照组明显升高（P〈0.01）、RR明显减低（P〈0.05）,但治疗后PSV组与PAV组PaO2、RR和氧合指数比较差异无统计学意义（P〉0.05）。同时PSV组与PAV组治疗后呼吸困难缓解的时间较对照组明显缩短（P〈0.05）,PAV组患者的气道峰压较PSV组为低,差异有统计学意义（P〈0.05）。结论无创通气PAV、PSV对改善急性左心衰竭具有显著的临床疗效,两种方法对急性左心衰竭患者的疗效差异无统计学意义。
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| 关 键 词： | 无创机械通气 急性左心衰竭 PSV PAV |
Clinical Intervention Observation and Study of Mechanical Ventilation in Patients with Acute Left Heart Failure |
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| CHEN Zhe-ming,HU Ying,ZHENG Wei-xing,et al..Clinical Intervention Observation and Study of Mechanical Ventilation in Patients with Acute Left Heart Failure[J].Practical Preventive Medicine,2011,18(1):29-31. |
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| Authors: | CHEN Zhe-ming HU Ying ZHENG Wei-xing |
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| Institution: | CHEN Zhe-ming,HU Ying,ZHENG Wei-xing,et al.(Department of Cardiology,Fuzhou General Hospital of Nanjing Military Region,Fuzhou 350025,Fujian,China) |
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| Abstract: | Objective To compare the hemodynamics and blood gas changes of two methods of non-invasive ventilation for treating acute left heart failure,and to analyze the effect of mechanical ventilation in patients with acute left heart failure. Methods Sixty-six patients with acute left heart failure were equally divided into three groups.The control group was treated by the conventional treatment.Based on the conventional treatment,pressure support ventilation mode was applied in PSV group,while proportional assist... |
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| Keywords: | PSV PAV |
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