BiPAP无创通气治疗急性左心衰竭27例疗效观察

[目的]观察BiPAP无创正压通气(NIPPV)在急性左心衰竭抢救中的临床应用疗效。[方法]52例住院急性左心衰竭患者随机分为2组,BiPAP组27例在应用常规抗心衰药物的同时联用BiPAP呼吸机进行无创通气治疗;对照组25例只应用常规抗心衰药物治疗,记录治疗前后症状、体征、血流动力学及血气分析各参数。[结果]BiPAP组患者临床症状、体征、血气等明显改善,显效率81.5%,总有效率92.6%;对照组显效率48%,总有效率80%,2组间显效率差异有显著性。[结论]经面罩NIPPV治疗急性左心衰时能迅速改善患者症状和低氧血症,是一种快速安全有效的抢救

BiPAP Non-trauma Ventilation Treat(NIPPV) Left Heart Failure 27 Cases

[Objective]To observe BiPAP NIPPV's clinical therapeutic effect on rescuing left heart failure.[Method]Randomly divide 52 cases into 2 groups,BiPAP group 27 cases treated with BiPAP respiratory machine for non-trauma ventilation therapy on the base of routine anti-heart failure medicine,the control one 25 cases were treated with anti-heart failure drugs;record their symptoms,signs,hemodynamics and blood-gas anaylsis,then analyse all parameters.[Result]In BiPAP group,the clinical symptoms,signs and blood-gas were much improved,the marked-effective rate 81.5%,the total effective rate 92.6%;48% and 80% for the control one respectively;two groups had obvious difference.[Conclusion]Face-cover NIPPV treating acute left heart failure can speedily relieve patients' symptoms and low-oxygen blood syndrome,being a quick,safe and effective rescue.