无创呼吸机治疗急性心力衰竭的疗效观察(1)
【摘 要】目的：使用无创呼吸机进行急性左心力衰竭抢救，探究其临床治疗效果。方法：本文通过将30例已确诊急性左心力衰竭患者随机分为15例采取常规治疗的对照组患者和15例采取无创呼吸机治疗的试验组患者。通过比较两组组实验对象的心率、呼吸频率、PH值、血氧饱和度(SpO2)、二氧化碳分压(PaCO2)、动脉血气(PaO2)以及临床症状的改善情况，判断无创呼吸机治疗的疗效。结果：对照组接受治疗后的显效率为26.66%，有效率为40.00%，无效率为33.33%，总有效率为66.67%；试验组接受治疗后的显效率为60.00%，有效率为33.03%，无效率为6.67%，总有效率为93.33%，两组实验对象的总有效率表现为有显著性差异(P<0.05)。对比两组急性心力衰竭患者的治疗前后心率、呼吸频率以及动脉压，可以发现，治疗后对照组患者的心率、呼吸频率和动脉压明显高于试验组，表现为有显著性差异(P<0.05)；试验组患者治疗前的心率、呼吸频率和动脉压明显低于治疗前，表现为有显著性差异(P<0.05)。结论：医护人员使用无创呼吸机进行急性左心力衰竭抢救可以提高临床治疗效果，提高急性心力衰竭患者的治疗有效率，具有普遍推广价值。
【关键词】急性心力衰竭；无创呼吸机；临床效果
Abstract Objective： To use noninvasive ventilator to rescue acute left heart failure. Methods： 30 patients with acute left heart failure were randomly divided into control group (n = 15) and experimental group (n = 15) treated with non-invasive ventilator. After comparing the heart rate of the two groups， Ph， SPO _ 2， Paco _ 2， Paco _ 2， and the improvement of clinical symptoms were evaluated. Results： the effective rate of non-invasive ventilator in the control group was as follows： 26.66， the effective rate was 40.00g， the ineffective rate was 33.3333 and the total effective rate was 66.67.The effective rate after treatment in the experimental group was 60.000.The effective rate was 33.03g， the ineffective rate was 6.67 and the total effective rate was 93.333.The total effective rate of the two groups was significantly different (P<0.05). Heart rate of patients with acute heart failure before and after treatment， After treatment， the heart rate， respiratory rate and arterial pressure in the control group were significantly higher than those in the experimental group (P<0. 05). The heart rate， respiratory frequency and arterial pressure in the trial group were significantly lower than those before treatment (P<0.05). Conclusion： the treatment of acute left heart failure by non-invasive ventilator can improve the clinical treatment effect. Improving the effective rate of treatment in patients with acute heart failure is of universal value.
Key words： Acute heart failure； Non-invasive ventilator； Clinical effect
【中图分类号】R541.6 【文献标识码】B 【文章编号】1672-3783(2018)05-03-0-01
急性心力衰竭的主要表现类型是急性左心力衰竭，该病症是由于心肌收缩力急剧减退致使动脉供血不足，具體表现为心肌收缩力下降，心脏无法及时将回心血量排出，最终导致动脉系统供血严重不足[1]，导致周围循环阻力增加，甚至可能引发多器官功能衰竭和缺氧性脑病。急性心力衰竭常伴有呼吸衰竭的并发症，传统治疗方式为创痛气治疗，随着医学的发展，又诞生了无创呼吸机治疗急性心力衰竭[2]。为了探究使用无创呼吸机进行急性左心力衰竭抢救的治疗效果，本文随机30例已确诊急性左心力衰竭患者进行对比分析。
一、对照试验
1.选择实验对象
本文选择30例已确诊急性左心力衰竭患者为2014年7月至2017年7月期本院ICU收治的急性心力衰竭患者，其中男性17例，女性13例，年龄区间为33-78岁，平均年龄为56.4±4.2岁。其中15例采取常规治疗的对照组患者，其中男性7例，女性8例，其年龄区间在35-77岁，平均年龄为57.5±2.4；另外15例采取无创呼吸机治疗的试验组患者，其中男性10例，女性5例，年龄区间为33-78岁，平均年龄为56.3±0.8岁。上述两组实验实验人员的年龄、性别等一般资料表现为无显著性差异(P>0.05)。上述实验对象均已签署实验知情书。, 百拇医药(梁美华)
【关键词】急性心力衰竭；无创呼吸机；临床效果
Abstract Objective： To use noninvasive ventilator to rescue acute left heart failure. Methods： 30 patients with acute left heart failure were randomly divided into control group (n = 15) and experimental group (n = 15) treated with non-invasive ventilator. After comparing the heart rate of the two groups， Ph， SPO _ 2， Paco _ 2， Paco _ 2， and the improvement of clinical symptoms were evaluated. Results： the effective rate of non-invasive ventilator in the control group was as follows： 26.66， the effective rate was 40.00g， the ineffective rate was 33.3333 and the total effective rate was 66.67.The effective rate after treatment in the experimental group was 60.000.The effective rate was 33.03g， the ineffective rate was 6.67 and the total effective rate was 93.333.The total effective rate of the two groups was significantly different (P<0.05). Heart rate of patients with acute heart failure before and after treatment， After treatment， the heart rate， respiratory rate and arterial pressure in the control group were significantly higher than those in the experimental group (P<0. 05). The heart rate， respiratory frequency and arterial pressure in the trial group were significantly lower than those before treatment (P<0.05). Conclusion： the treatment of acute left heart failure by non-invasive ventilator can improve the clinical treatment effect. Improving the effective rate of treatment in patients with acute heart failure is of universal value.
Key words： Acute heart failure； Non-invasive ventilator； Clinical effect
【中图分类号】R541.6 【文献标识码】B 【文章编号】1672-3783(2018)05-03-0-01
急性心力衰竭的主要表现类型是急性左心力衰竭，该病症是由于心肌收缩力急剧减退致使动脉供血不足，具體表现为心肌收缩力下降，心脏无法及时将回心血量排出，最终导致动脉系统供血严重不足[1]，导致周围循环阻力增加，甚至可能引发多器官功能衰竭和缺氧性脑病。急性心力衰竭常伴有呼吸衰竭的并发症，传统治疗方式为创痛气治疗，随着医学的发展，又诞生了无创呼吸机治疗急性心力衰竭[2]。为了探究使用无创呼吸机进行急性左心力衰竭抢救的治疗效果，本文随机30例已确诊急性左心力衰竭患者进行对比分析。
一、对照试验
1.选择实验对象
本文选择30例已确诊急性左心力衰竭患者为2014年7月至2017年7月期本院ICU收治的急性心力衰竭患者，其中男性17例，女性13例，年龄区间为33-78岁，平均年龄为56.4±4.2岁。其中15例采取常规治疗的对照组患者，其中男性7例，女性8例，其年龄区间在35-77岁，平均年龄为57.5±2.4；另外15例采取无创呼吸机治疗的试验组患者，其中男性10例，女性5例，年龄区间为33-78岁，平均年龄为56.3±0.8岁。上述两组实验实验人员的年龄、性别等一般资料表现为无显著性差异(P>0.05)。上述实验对象均已签署实验知情书。, 百拇医药(梁美华)