无创呼吸机在抢救急性左心衰中的应用效果

The Curative Effect on Acute Left Heart Failure with BiPAP Breathing Machine

目的:探讨无创呼吸机在抢救急性左心衰中的临床效果。方法:选取笔者所在医院2013年7月-2015年9月收治的56例急性左心衰患者作为研究对象,用随机数表法将所有患者均分为两组,即对照组和观察组,每组患者28例,对照组患者给予常规方法治疗,观察组患者在对照组治疗基础上给予无创呼吸机治疗。比较两组患者的临床疗效。结果:治疗后,观察组和对照组患者临床治疗总有效率分别为92.9%和71.4%,差异有统计学意义(P<0.05);观察组患者的HR、R、MBP、Pa O2和Sa O2改善状况显著优于对照组(P<0.05);观察组和对照组患者的再住院率、心脏事件发生率分别为25.0%、3.6%和46.4%、21.4%,差异均有统计学意义(P<0.05),观察组和对照组患者的不良反应发生率分别为7.1%和14.3%,差异无统计学意义(P>0.05)。结论:无创呼吸机在抢救急性左心衰中的临床疗效显著,具有临床推广价值。

Objective： To study the clinical efficacy of noninvasive ventilator for acute left heart failure.Method： From July 2013 to September 2015, 56 patients with acute left heart failure disease were selected and randomly divided into the control group and the observation group, 28 eases in each group.The control group was given traditional drug therapy treatment, while the observation group was given traditional drug therapy combined with noninvasive ventilator treatment.Efficacy were compared between two groups.Result： In the observation group, HR, R, MBP, PaO2 and SaO2 indicators improved significantly than those in the control group（P〈0.05）, the observation group efficiency was 92.9%, it was significantly higher than 71.4% in the control group.rehospitalization rare（25.0%） and major adverse cardiovascular events rare（3.6%） in the observation group were lower than 46.4% and 21.4% in the control group（P〈0.05）, the adverse reactions in the observation and the control group were 7.1%, 14.3%, there was no significant differenee（P〉0.05）.Conclusion： There is remarkable effecl in the treatment of acute left heart failure and prognosis rescue using BiPAP, and it is a good method to approach the world.