无创呼吸机在ICU急性心衰合并呼吸衰竭患者治疗中的应用效果

Application Effect of Noninvasive Ventilator in the Treatment of Patients with Acute Heart Failure and Respiratory Failure in ICU

目的探究ICU急性心衰合并呼吸衰竭患者采取无创呼吸机治疗的临床应用价值。方法此次选择2017年3月—2019年3月该院ICU重症监护病房收治急性心衰合并呼吸衰竭患者100例为研究对象,参照患者入院先后顺序分为观察组与对照组,对照组患者采取基础对症治疗,观察组患者在此基础上联用无创呼吸机治疗,对比两组临床总有效率,检测并评估各组患者治疗前后血气相关指标差异。结果观察组治疗总有效率明显优于对照组,差异有统计学意义(P<0.05)。两组患者未接受治疗前,血气相关指标差异无统计学意义(P>0.05),经治疗后,观察组患者血氧分压指标(89.43±1.15)mmHg、血氧饱和度指标(95.23±1.15)%均明显高于对照组,呼吸频率(17.49±0.21)次/min、心率(70.34±1.32)次/min、二氧化碳分压指标(45.49±1.01)mmHg均明显低于对照组,差异有统计学意义(t=15.27、14.39、8.47、18.34、14.21,P<0.05)。结论ICU急性心衰合并呼吸衰竭患者采取无创呼吸机治疗效果更佳,可改善患者相关指标,降低患者病死率,值得推广应用。

Objective To investigate the clinical value of non-invasive ventilator therapy in patients with acute heart failure and respiratory failure in ICU.Methods From March 2017 to March 2019,100 patients with acute heart failure and respiratory failure were enrolled in the ICU intensive care unit of our hospital.The patients were divided into observation group and control group according to the order of admission.Based on the symptomatic treatment,the patients in the observation group were treated with non-invasive ventilator on the basis of this.The total effective rate of the two groups was compared.The differences of blood gas related indexes before and after treatment were detected and evaluated.Results The total effective rate of the observation group was significantly better than that of the control group,the differen ce was statistically significant(P<0.05).There were no significant differences in blood gas related indexes between the two groups before treatment(P>0.05).After treatment,the blood oxygen partial pressure index(89.43±1.15)mmHg and blood oxygen saturation index(95.23±1.15)%were significantly higher in the observation group than in the control group,respiratory rate(17.49±0.21)times/min,heart rate(70.34±1.32)times/min,carbon dioxide partial pressure index(45.49±1.01)mmHg were significantly lower than the control group,the difference was statistically significant(t=15.27,14.39,8.47,18.34,14.21,P<0.05).Conclusion In patients with acute heart failure and respiratory failure in ICU,the treatment with non-invasive ventilator is better,which can improve the related indicators and reduce the mortality of patients.It is worthy of popularization and application.