BiPAP无创通气治疗妊娠并发急性左心衰竭28例疗效观察

Noninvasive ventilation BiPAP treatment of pregnancy complicated with acute left heart failure 28 cases of curative effect observation

目的评价双水平正压无创通气(BiPAP)救治妊娠并发急性左心衰的临床疗效。方法将我院的56例妊娠并发急性左心衰患者随机分成两组,治疗组28例(A组),在常规药物抗心衰治疗基础上联用BiPAP呼吸机面罩正压通气治疗,测定动脉血氧分压,观察血压、心率、呼吸及临床症状,并进行相关分析。对照组28例(B组)常规药物抗心衰治疗。结果治疗组在治疗后1h、3h,心率、呼吸、动脉血氧分压、平均动脉压的改善明显优于对照组(P<0.05),治疗显效率为50.00%,总有效率为82.14%,均明显高于对照组(P<0.05)。结论妊娠并发急性左心衰患者在常规药物抗心衰治疗基础上联用BiPAP呼吸机面罩正压通气治疗较单纯常规药物抗心衰治疗对患者心率、呼吸、血氧的改善明显且治疗效果显著,值得临床推广运用。

Objective To evaluate the effect of BiPAP used in acute left heart-failure caused by pregnancy. Methods A total of 56 patients with acute left heart-failure caused by pregnancy were divided into two groups. The 28 patients in the experi- mental group（ A group） received BiPAP on the base of using regular anti- heart-failure medicine, measuring artery S p O 2 % , ob- serving BP, HR, R and clinic symptoms. While the 28 patients in the control group（ B group） receivied regular anti-heart-failure medicine. Results Patients in A group had a significant improvement in HR,R, average artery BP and artery SpO2% . Con- clusion Anti heart-failure medicine combining BiPAP is more effective to acute left heart-failure patients caused by pregnancy than those only using Anti heart-failure medicine.