评价机械辅助通气在急性心衰患者抢救中的应用效果及护理

目的 分析机械辅助通气在抢救急性心衰患者中的效果及护理措施.方法 将82例急性左心衰患者分为对照组和治疗组,各41例.对照组给予常规的强心、利尿等治疗,治疗组在常规治疗的基础上使用机械辅助通气.观察两组患者的临床症状改善情况,比较两组治疗有效率,并对1h、24h、48 h后的血气分析结果进行比较.结果 治疗组的总有效率为92.68％,对照组的总有效率为70.73％,两组比较差异有统计学意义（P＜ 0.05）.治疗组1h后呼吸困难、血气分析指标改善明显优于对照组（P＜0.05）.结论 在急性心衰患者的抢救过程中,机械辅助通气可以帮助改善呼吸症状,纠正低氧血症的效果.

Clinical effect and nursing observation of assisted mechanical ventilation in rescuing patients with acute left ventricular failure

Objective To analyze and evaluate the clinical effect and nursing measures of assisted mechanical ventilation in patients with acute left ventricular failure.Methods 82 patients with acute left ventricular failure in our hospital were divided into control group and treatment group,41 cases in each group.Control group was treated with conventional cardiac,diuretic therapy,while treatment group was treated with assisted mechanical ventilation on the basis of conventional therapy.Observed clinical improved symptoms and blood gas analysis index after 1,24,48 h of two groups.Results The total effective rate of treatment group was 92.68％,and that of control group was 70.73％,with statistically significant difference between two groups （P ＜ 0.05）.1 hour after treatment,dyspnea and blood gas analysis index in treatment group were significantly better that those in control group （P ＜ 0.05）.Conclusion Assisted mechanical ventilation can improve respiratory symptoms and correct hypoxemia in patients with acute left ventricular failure in the rescue process.