丙泊酚辅助下无创正压通气治疗急性左心衰竭的疗效分析

Analysis of curative effect of propofol assisted noninvasive positive pressure ventilation in treating acute left heart failure

目的:观察丙泊酚辅助下无创正压通气治疗急性左心衰竭的临床疗效,并加以分析。方法:收治急性左心衰竭患者54例,对患者的临床资料进行回顾性分析,将患者均分为研究组和对照组,其中对照组采取传统方法治疗(吸氧,使用强心、利尿、降压、舒张血管的相关药物,必要时给予抗感染治疗),研究组以传统治疗的为基础,进行丙泊酚辅助下无创正压通气治疗,比较两组心率、呼吸、血压、pH、动脉血氧分压、二氧化碳分压以及血氧饱和度等指标的差异。结果:研究组治疗效果明显好于对照组,研究组治疗有效率也明显高于对照组,差异有统计学意义(P<0.05)。研究组治疗后心率下降程度比对照组明显,血氧饱和度升高程度较对照组明显,指标差异具有统计学意义(P<0.05)。结论:丙泊酚辅助下无创正压通气能有效治疗急性左心衰竭,对患者的临床症状有良好的改善效果,提高了疾病的治愈率,并且减轻了患者痛苦。

Objective:The effect of noninvasive positive pressure ventilation in the treatment of acute left heart failure to observe the effects of propofol assisted,and analysis.Methods:2013 January^2014 January admitted patients with acute left heart failure in 54 cases,the clinical data of the patients were analyzed retrospectively,patients were divided into study group and control group,the patients in the control group took traditional treatment(oxygen,the use of strong heart,diuretic,antihypertensive,vasodilating drugs,when necessary,give the anti infection treatment),research group of patients with conventional treatment as the basis,for propofol assisted noninvasive positive pressure ventilation in the treatment of,compared two groups of patients with heart rate,respiration,blood pressure,pH,PaO2,PaCO2and differences in oxygen saturation index.Results:the patients in study group were obviously better than the patients in the control group,the effective rate of treatment group was higher than that of control group,the difference was statistically significant(P<0.05).The degree of treatment than in the control group significantly decreased heart rate of patients after treatment,blood oxygen saturation degree increased significantly compared with the control group,with significant difference(P<0.05).Conclusion:Propofol assisted noninvasive positive pressure ventilation is effective in the treatment of acute left heart failure,a good improvement effect on the patient's clinical symptoms,improve the cure rate of the disease,and to reduce the pain of patients,is worthy of clinical use.