EICU中呼吸机治疗急性心力衰竭合并呼吸衰竭的疗效评价

Evaluation on Curative Effect of Ventilator in EICU in Treatment of Acute Heart Failure and Respiration Failure

目的探讨在EICU中,应用呼吸机对急性心力衰竭合并呼吸衰竭病症患者进行治疗的效果。方法方便选取2013年1月—2014年1月,该院收治急性心力衰竭合并呼吸衰竭病症患者80例,采用随机数字表法的形式将其平均分成实验组和参照组,每组患者各为40例,其中两组患者均行基础治疗,在此基础上实验组患者行呼吸机治疗,对比两组患者的临床治疗效果、血气分析情况以及血氧饱和度情况。结果经过不同方式进行治疗后,两组患者治疗前的PaO_2、Pa CO2以及p H指标对比差异无统计学意义(P>0.05),治疗后的指标对比中,参照组的PaO_2(k Pa)、Pa CO2、p H以及SaO_2指标分别为(6.80±2.30)k Pa、(6.03±1.03)k Pa、(7.20±0.33)、(93.25±4.30)%,实验组的上述指标为(7.99±1.80)k Pa、(5.16±1.10)k Pa、(7.60±0.40)、(99.98±4.56)%。PaO_2、p H等高于参照组患者,其Pa CO2指标对比,参照组高于实验组患者,组间对比差异有统计学意义(P<0.05)。治疗总有效率的对比中,实验组总有效率为95.0%,参照组总有效率为80.0%,组间对比差异有统计学意义。结论在EICU中,对急性心力衰竭合并呼吸衰竭病症患者行呼吸机治疗的效果显著,能够对患者的临床症状进行改善,这对于临床研究具有重要作用。

Objective To discuss the effect of ventilator in EICU in treatment of acute heart failure and respiration failure.Methods 80 cases of patients with acute heart failure and respiration failure admitted and treated in our hospital from January 2013 to January 2014 were conveniently selected and randomly divided into two groups with 40 cases in each, both groups adopted the basic treatment, and the experimental group adopted the ventilator treatment, and the clinical treatment effect, blood gas analysis situation and oxygen saturation of blood were compared between the two groups. Results After treatment, the differences in the PaO2,PaCO2 and pH index before treatment between the two groups was not statistically significant（P〉0.05）, after treatment, the PaO2, PaCO2, pH, SaO2 in the control group were respectively（6.80 ±2.30）k Pa,（6.03±1.03）k Pa,（7.20±0.33）,（93.25±4.30）% and（7.99±1.80）k Pa,（5.16±1.10）k Pa,（7.60±0.40）,（99.98±4.56）% in the experimental group, and the PaO2 and PH were higher than those in the control group, and the PaCO2 index in the control group was higher than that in the experimental group, and the differences between groups was statistically significant（P〈0.05）, and the difference in the total effective rate between the experimental group and the control group was statistically significant,（95.0% vs 80.0%）. Conclusion The effect of ventilator in EICU in treatment of acute heart failure and respiration failure is obvious, which can improve the clinical symptoms and it is of important significance to the clinical research.