急性左心衰竭合并呼吸衰竭患者采用无创呼吸机辅助通气的治疗效果

Treatment Effect of Noninvasive Ventilator Assisted Ventilation in Patients with Acute Left Heart Failure Complicated with Respiratory Failure

目的探讨急性左心衰竭合并呼吸衰竭患者采用无创呼吸机辅助通气的治疗效果。方法选取我院2015年3月至2016年12月收治的65例急性左心衰竭合并呼吸衰竭患者,分为A组(常规治疗+无创呼吸机辅助通气治疗,39例)和B组(常规治疗,26例)。比较两组患者的疗效,以及治疗前、治疗24 h后的BNP、MAP、HR、PaO_2、PaCO_2水平。结果治疗前,两组患者的BNP、MAP、HR、PaO_2、PaCO_2水平比较差异均无统计学意义(P>0.05)。治疗24 h后,A组的BNP、MAP、HR、PaCO_2水平均低于B组,PaO_2水平高于B组,差异均有统计学意义(P<0.05)。A组的总有效率显著高于B组(P<0.05)。结论急性左心衰竭合并呼吸衰竭患者采用无创呼吸机辅助通气治疗可改善患者的临床症状,提高临床疗效。

Objective To explore the treatment effect of noninvasive ventilator assisted ventilation in patients with acute left heart failure complicated with respiratory failure. Methods 65 cases of patients with acute left heart failure complicated with respiratory failure admitted to our hospital fi＇om March 2015 to December 2016 were selected and divided into group A （conventional treatment ＋ noninvasive ventilator assisted ventilation, 39 cases） and group B （conventional treatment, 26 cases）. The curative effect and the BNP, MAP, HR, PaO2 and PaCO2 levels before treatment and 24 h after treatment were compared between two groups. Results Before treatment, no statistical difference was fotmd in BNP, MAP, HR, PaO2 and PaCO2 levels between two groups （P〉0.05）. 24 h after treatment, the BNP, MAP, HR and PaCO2 levels of group A were lower than those of group B, and the PaO2 level was higher than that of group B, with statistical differences （P 〈0.05）. The total effective rate of group A was significantly higher than that of group B （P 〈0.05）. Conclusions Noninvasive ventilator assisted ventilation in the treatment of patients with acute left heart failure complicated with respiratory failure can improve the clinical symptoms of patients and clinical curative effect.