无创呼吸机辅助通气联合吗啡治疗急性左心力衰竭

Observation of curative effect of noninvasive ventilator assisted ventilation combined with morphine in treatment of acute left heart failure

目的探讨采用无创呼吸机辅助通气联合吗啡对急性左心力衰竭的临床疗效。方法选取我院2011年7月—2014年3月期间收治的60例急性左心力衰竭患者,根据治疗方法的不同,将所选取的患者随机分为实验组和对照组,对照组的患者采用无创呼吸机辅助通气治疗,实验组的患者在此基础上再联合吗啡进行治疗,对两组患者的临床治疗结果进行对比分析。结果实验组患者的临床治疗有效率明显高于对照组(P<0.05);实验组患者相关指标改善程度也明显比对照组患者强,差异具有显著性(P<0.05)。结论无创呼吸机辅助通气能够有效改善急性左心力衰竭患者的呼吸功能,通过联合吗啡的镇静作用,能够有效增强临床治疗效果,促进患者低氧血症等临床症状的改善,具有十分积极的临床作用,建议进一步推广使用。

Objective To explore clinical curative effect of using noninvasive ventilator assisted ventilation combined with morphine to treat acute left heart failure. Methods Sixty cases of patients with acute left heart failure were selected, who were admitted in our hospital from July 2011 to March 2011. According to different treatment methods, selected patients were randomly divided into experimental group and control group. Patients of control group underwent noninvasive ventilator assisted ventilation, while patients of experimental group were treated by combining with morphine on the basis of above method. Clinical curative results of two groups were contrastive analyzed. Results Effective rate of clinical treatment of experimental group was obviously higher than that of control group （ P 〈 0.05 ） ; Improvement extent of relevant indicators of experimental group was obviously better than control group, differences were significance （P 〈 0. 05 ）. Conclusions Noninvasive ventilator assisted ventilation can effectively improve respiratory function of patients with acute left heart failure. It can effectively enhance clinical curative effect through jointing sedation effect of morphine and promote improvement of patients＇ clinical symptoms such as hypoxemia. It has very positive clinical effect, and is suggested to promote further and use.