急性心源性肺水肿采用无创通气治疗的疗效探析

Effect of Noninvasive Ventilation on Acute Cardiogenic Pulmonary Edema

目的:探析急性心源性肺水肿采用无创通气治疗的疗效。方法:对照组实施保守内科治疗,研究组加用BiPAP无创呼吸机治疗,分析对比两组疗效、呼吸困难缓解时间,对比两组心率、呼吸、平均动脉压与动脉氧分压的治疗前后数值。结果:研究组总有效率及呼吸困难缓解时间显著优于对照组(P<0.05);两组治疗前心率、呼吸、平均动脉压及动脉氧分压无显著差异(P>0.05),治疗后均慢性好转(P<0.05),研究组优化效果显著好于对照组(P<0.05)。结论:急性心源性肺水肿采用无创通气治疗疗效确切,可迅速改善呼吸困难,提升心功能。

Objective：To investigate the efficacy of noninvasive ventilation therapy on acute cardiogenic pulmonary edema.Methods：The control group was treated with conservative medical treatment.The study group was treated with BiPAP noninvasive ventilator additionally.The curative effect and the time of relief of dyspnea between the two groups were analyzed and compared.The heart rate,respiration,mean arterial pressure and arterial oxygen partial pressure before and after treatment were compared between the two groups.Results：The total effective rate and relief time of dyspnea in the study group were significantly better than those in the control group（P〈0.05）.There was no significant difference before treatment in heart rate,respiration,mean arterial pressure and arterial oxygen pressure between the two groups（P〈0.05）.After treatment,the patients were significantly improved（P〈0.05）,the study group was better than the control group（P〈0.05）.Conclusion：Non-invasive ventilation is effective in the treatment of acute cardiogenic pulmonary edema,which can quickly improve dyspnea and improve cardiac function.