无创呼吸机治疗急性左心衰竭的临床效果观察(1)
摘要：目的 對无创呼吸机通气治疗急性左心衰竭疗效进行探讨。方法 选择我院收治急性左心衰竭患者140例，依据住院时间划分为对照组和观察组。两组患者均接受内科常规治疗，观察组同时接受无创呼吸机通气治疗，进行两组生命体征和治疗效果的对比。结果 治疗后观察组心率为(98±2.7)次/min，对照组为(134±12.6)次/min，观察组心率比对照组低；治疗后观察组呼吸频率为(15±3.2)次/min，对照组呼吸频率为(22±3.3)次/min，观察组呼吸频率比对照组低；治疗后观察组二氧化碳分压为(41±4.3)mmHg，对照组为(37±4.2)mmHg，观察组二氧化碳分压比对照组低；治疗后观察组氧分压为(88.4±4.9)mmHg，对照组氧分压为(68.2±7.3)mmHg，观察组氧分压比对照组高。观察组治疗总有效率为91.40%，对照组治疗总有效率为71.40%，观察组治疗有效率比对照组高(P<0.05)。2年随访观察组再入院率2.90%，对照组再入院率22.90%，观察组24个月再入院率比对照组低(P<0.05)。结论 在急性左心衰竭患者中应用无创呼吸机通气治疗，能够使通气得到改善，并实现呼吸性酸中毒的有效纠正和二氧化碳潴留的缓解，最终促进治疗效果的提升。
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关键词：无创呼吸机通气治疗；急性左心衰竭；治疗效果
中图分类号：R541.6 文献标识码：A 文章编号：1006-1959(2017)24-0060-02
Clinical Observation of Noninvasive Ventilator in the Treatment of Acute Left Heart Failure
XIE Shun-hua1，WAN Pei2
(Department of Critical Medicine1，Chinese Medicine Anorectal2，Yuxi People's Hospital，Yuxi 653100，Yunnan，China)
Abstract：Objective To explore the curative effect of noninvasive ventilation in acute left heart failure.Methods 140 patients in our hospital with acute left heart failure，according to hospitalization time were divided into control group and observation group.The two groups of patients received conventional medical treatment，and the observation group received noninvasive ventilation in the treatment of respiratory machine，comparing the two groups of vital signs and the therapeutic effect was observed after treatment.Results The heart rate was (98±2.7)/min in the observation group and (134±12.6)/min in the control group.The heart rate of the observation group was lower than that of the control group after treatment.After treatment，the respiratory rate of the observation group was(15±3.2)/min，and that of the control group was(22±3.3)/min，and the respiratory rate of the observation group was lower than that of the control group；After treatment，the carbon dioxide partial pressure of the observation group was(41±4.3)mmHg，and that of the control group was(37±4.2)mmHg，and the carbon dioxide partial pressure of the observation group was lower than that of the control group；After treatment，the oxygen partial pressure of the observation group was(88.4±4.9)mmHg，and the oxygen pressure of the control group was(68.2±7.3)mmHg， and the oxygen partial pressure of the observation group was higher than that of the control group.The total efficiency of the observation group was 91.40%，control group total effective rate was 71.40%，the treatment efficiency of observation group was higher than in the control group(P<0.05).2 years follow-up observation group readmission rate was 2.90%，the control group re hospitalization rate was 22.90%，the observation group 24 months readmission rate lower than the control group(P<0.05).Conclusion The application of noninvasive ventilation in patients with acute left heart failure can improve ventilation，and achieve the effective correction of respiratory acidosis and remission of carbon dioxide retention，and ultimately promote the improvement of treatment effect., 百拇医药(谢顺华 万培)
, http://www.100md.com
关键词：无创呼吸机通气治疗；急性左心衰竭；治疗效果
中图分类号：R541.6 文献标识码：A 文章编号：1006-1959(2017)24-0060-02
Clinical Observation of Noninvasive Ventilator in the Treatment of Acute Left Heart Failure
XIE Shun-hua1，WAN Pei2
(Department of Critical Medicine1，Chinese Medicine Anorectal2，Yuxi People's Hospital，Yuxi 653100，Yunnan，China)
Abstract：Objective To explore the curative effect of noninvasive ventilation in acute left heart failure.Methods 140 patients in our hospital with acute left heart failure，according to hospitalization time were divided into control group and observation group.The two groups of patients received conventional medical treatment，and the observation group received noninvasive ventilation in the treatment of respiratory machine，comparing the two groups of vital signs and the therapeutic effect was observed after treatment.Results The heart rate was (98±2.7)/min in the observation group and (134±12.6)/min in the control group.The heart rate of the observation group was lower than that of the control group after treatment.After treatment，the respiratory rate of the observation group was(15±3.2)/min，and that of the control group was(22±3.3)/min，and the respiratory rate of the observation group was lower than that of the control group；After treatment，the carbon dioxide partial pressure of the observation group was(41±4.3)mmHg，and that of the control group was(37±4.2)mmHg，and the carbon dioxide partial pressure of the observation group was lower than that of the control group；After treatment，the oxygen partial pressure of the observation group was(88.4±4.9)mmHg，and the oxygen pressure of the control group was(68.2±7.3)mmHg， and the oxygen partial pressure of the observation group was higher than that of the control group.The total efficiency of the observation group was 91.40%，control group total effective rate was 71.40%，the treatment efficiency of observation group was higher than in the control group(P<0.05).2 years follow-up observation group readmission rate was 2.90%，the control group re hospitalization rate was 22.90%，the observation group 24 months readmission rate lower than the control group(P<0.05).Conclusion The application of noninvasive ventilation in patients with acute left heart failure can improve ventilation，and achieve the effective correction of respiratory acidosis and remission of carbon dioxide retention，and ultimately promote the improvement of treatment effect., 百拇医药(谢顺华 万培)
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