AVAPS无创机械通气治疗老年急性心力衰竭合并低氧血症的临床研究被引量：26

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摘要目的探讨平均容量保证压力支持(AVAPS)无创机械通气治疗老年急性心力衰竭合并低氧血症的临床疗效。方法将40例老年急性心力衰竭合并低氧血症的病人随机分为治疗组和对照组,每组20例。两组均给予常规药物+无创机械通气治疗。治疗组给予AVAPS模式,对照组给予双水平气道正压(BiPAP)模式。观察两组病人治疗前后血气分析、N末端脑钠肽前体(NT-proBNP)、无创机械通气时间、不良反应等。结果两组治疗后动脉血氧分压较治疗前升高,动脉血二氧化碳分压、NT-proBNP均较治疗前明显下降,差异均有统计学意义(P<0.05);治疗组呼吸机参数人工调整次数及呼吸机带机时间均小于对照组,两组比较有统计学意义(P<0.05)。结论 AVAPS无创机械通气能快速纠正低氧血症,减少无创机械通气时间及呼吸机参数人工调整次数,可用于老年急性心力衰竭合并低氧血症病人的治疗。

作者赵志颖龙怀聪高玉春杨江玉曾庆萃

机构地区四川省医学科学院/四川省人民医院

出处《中西医结合心脑血管病杂志》 2019年第9期1365-1367,共3页 Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease

基金四川省卫生厅科研课题(No.080372)

关键词急性心力衰竭老年人平均容量保证压力支持双水平气道正压 N末端脑钠肽前体血气分析

分类号 R541.6 [医药卫生—心血管疾病] R256.2 [医药卫生—中医内科学]

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参考文献3

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