无创呼吸机治疗在急性心力衰竭合并呼吸衰竭治疗中的应用分析(1)
【摘 要】目的：笔者此论文旨在分析无创呼吸机在AHFRF治疗中的临床效果。方法：选择2015年3月至2017年3月在我院住院治疗的一百三十位AHFRF患者作为研究对象。其中使用常规治疗以及无创呼吸机辅助通气治疗的AHFRF患者共计七十八位，剩余的五十二位患者则使用的是本院的常规疗法。我们称前者为实验组，后者为对照组，然后将两个组的患者的治疗效果进行详细的对比分析，此外，还要观察两组患者在我院进行治疗二十四小时之前的B型尿钠肽(BNP)、平均动脉压(MAP)、心率(HR)、氧分压(PaO2)、二氧化碳分压(PaCO2)等五个指标的水平。结果：治疗前两组患者的五个观察指标之间的差异不具备统计学意义即P值大于零点零五。在经过治疗后，实验组的这五个观察指标值均小于对照组，P值小于零点零五，两组之间的差异有统计学意义。换言之，实验组治疗的总有效率明显比对照组好。结论：在AHFRF患者的治疗中运用无创呼吸机治疗可以有效缓解病人的呼吸困难症状，患者血气指标改善非常确切，这对于患者临床疗效的提升大有裨益，有助于患者病情的康复治疗。
【关键词】AHFRF；无创呼吸机；临床效果
, 百拇医药
Application of noninvasive ventilator in the treatment of acute heart failure combined with respiratory failure
Zhang Ge(Chengdu longquanyi first people's hospital，chengdu，sichuan 610100)
Abstract：Objective To analyze the clinical effect of noninvasive ventilator in the treatment of AHFRF.Methods： one hundred and thirty patients with AHFRF who were hospitalized in our hospital from March 2015 to March 2017 were selected as subjects.A total of 78 AHFRF patients were treated with conventional therapy and non-invasive ventilator-assisted ventilation，while the remaining 52 patients were treated with conventional therapy in our hospital.We call the former group，the latter as the control group，and then the therapeutic effect of two groups of patients with detailed comparison and analysis，in addition，they observed two groups of patients in our hospital for treatment of type B before 24 hours urinary sodium peptide (BNP)，mean arterial pressure (MAP)，heart rate (HR)，oxygen partial pressure (PaO2)，co2 partial pressure (PaCO2)，and other five indicators.Results： the difference of five observation indexes between the two groups before the treatment was not statistically significant (P > 0.05).After treatment，the values of the five observation indexes in the experimental group were all smaller than those in the control group，and the P value was less than 0.5，indicating a statistically significant difference between the two groups.In other words，the total therapeutic efficiency of the experimental group was significantly better than that of the control group.Conclusion： non-invasive ventilator therapy can effectively relieve patients' dyspnea symptoms in the treatment of patients with AHFRF.The improvement of blood gas index is very accurate，which is of great benefit to the improvement of clinical efficacy and the rehabilitation of patients' condition.
Key words： AHFRF； Non-invasive ventilator； Clinical effect
【中圖分类号】R563.9 【文献标识码】B 【文章编号】1005-0019(2018)13-00-01, 百拇医药(张戈)
【关键词】AHFRF；无创呼吸机；临床效果
, 百拇医药
Application of noninvasive ventilator in the treatment of acute heart failure combined with respiratory failure
Zhang Ge(Chengdu longquanyi first people's hospital，chengdu，sichuan 610100)
Abstract：Objective To analyze the clinical effect of noninvasive ventilator in the treatment of AHFRF.Methods： one hundred and thirty patients with AHFRF who were hospitalized in our hospital from March 2015 to March 2017 were selected as subjects.A total of 78 AHFRF patients were treated with conventional therapy and non-invasive ventilator-assisted ventilation，while the remaining 52 patients were treated with conventional therapy in our hospital.We call the former group，the latter as the control group，and then the therapeutic effect of two groups of patients with detailed comparison and analysis，in addition，they observed two groups of patients in our hospital for treatment of type B before 24 hours urinary sodium peptide (BNP)，mean arterial pressure (MAP)，heart rate (HR)，oxygen partial pressure (PaO2)，co2 partial pressure (PaCO2)，and other five indicators.Results： the difference of five observation indexes between the two groups before the treatment was not statistically significant (P > 0.05).After treatment，the values of the five observation indexes in the experimental group were all smaller than those in the control group，and the P value was less than 0.5，indicating a statistically significant difference between the two groups.In other words，the total therapeutic efficiency of the experimental group was significantly better than that of the control group.Conclusion： non-invasive ventilator therapy can effectively relieve patients' dyspnea symptoms in the treatment of patients with AHFRF.The improvement of blood gas index is very accurate，which is of great benefit to the improvement of clinical efficacy and the rehabilitation of patients' condition.
Key words： AHFRF； Non-invasive ventilator； Clinical effect
【中圖分类号】R563.9 【文献标识码】B 【文章编号】1005-0019(2018)13-00-01, 百拇医药(张戈)
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