探讨机械通气治疗急性心肌梗死并重症左心衰竭的临床效果

Investigate the Clinical Effect of Mechanical Ventilation in the Treatment of Acute Myocardial Infarction Complicated with Severe Left Heart Failure

目的 分析探讨机械通气治疗急性心肌梗死并重症左心衰竭的临床效果。方法 选取黑龙江省第三医院2019~2020年治疗急性心肌梗死并重症左心衰竭患者120例为观察对象,随机将其分为观察组与对照组,其中对照组患者采用常规治疗方法,观察组采用机械通气治疗,将两组患者治疗后的24h生命体征变化情况、并发症发生情况与治疗效果进行比较。结果 将两组患者在治疗后的24h生命体征变化情况进行对比发现,观察组患者血压、血氧饱和度、呼吸频率、心率等生命体征指标的改善度优于对照组,差异具有统计学意义(P <0.05);将两组患者治疗后的并发症发生情况进行比较发现,观察组患者发生并发症发生率低于对照组,差异具有统计学意义(P <0.05);将两组患者的治疗效果进行对比发现,观察组患者的治疗效果高于对照组,差异具有统计学意义(P <0.05)。结论 急性心肌梗死并重症左心衰竭患者在进行机械通气治疗后,可以有效减少各种并发症的发生率,改善患者生命体征,并且可以有效提高治疗效果,具有较高的安全性,能够提升救治成功率,值得推广与应用于急性心肌梗死并重症左心衰竭患者的临床治疗中。

Objective To analyze the clinical effect of mechanical ventilation in the treatment of acute myocardial infarction complicated with severe left heart failure. Methods Select 120 patients with acute myocardial infarction and severe left heart failure in our hospital from 2019 to 2020 as the observation objects, and randomly divide them into observation group and control group. Among them, the control group adopts conventional treatment methods and the observation group adopts For mechanical ventilation treatment, the changes in vital signs and complications of the two groups of patients 24 hours after treatment were compared with the treatment effect. Results Comparing the changes in vital signs of the two groups of patients 24 hours after treatment, it was found that the improvement of blood pressure, blood oxygen saturation, respiratory rate, heart rate and other vital signs of the observation group was better than that of the control group, and the difference was statistically significant(P <0.05). Comparing the incidence of complications after treatment in the two groups of patients, it was found that the incidence of complications in the observation group was lower than that in the control group, and the difference was statistically significant(P <0.05). Comparing the treatment effect of the observation group, the treatment effect of the observation group was higher than that of the control group, and the difference was statistically significant(P < 0.05). Conclusion After mechanical ventilation in patients with acute myocardial infarction and severe left heart failure,the incidence of various complications can be effectively reduced, the vital signs of patients can be improved, and the treatment effect can be effectively improved. It has high safety and can improve the success of treatment. It is worthy of promotion and application in the clinical treatment of patients with acute myocardial infarction and severe left heart failure.