摘要
【目的】对无创双水平正压通气（BiPAP）治疗急性左心衰竭的临床疗效进行观察。【方法】对本院急诊救治的各种病因所致的急性左心衰竭患者随机分组，治疗组采用常规药物治疗加BiPAP面罩ST-D-20呼吸机双向正压通气，以流量触发，压力支持，所给吸气压8～15cmH2O，呼气压2～5cmH2O。对照组常规药物治疗加鼻导管吸氧。【结果】治疗组经无创面罩通气后，所有患者在10min至2h内呼吸频率减慢，心率下降，PaO2上升，PaCO2下降，治疗总有效率为100％，对血压无明显影响。对照组在相应时间内治疗总有效率为68．2％。【结论】无创双水平正压通气治疗急性左心衰竭效果显著，安全可行。
[Objective]To assess the efficacy of noninvasive bi-level positive airway pressure （BiPAP） ventilation on acute left heart failure, [Methods]Fourty-five patients with acute left heart failure were randomly divided into two groups. BiPAP group., twenty three patients were treated by BiPAP ST-2-D30 accessory machines with traditional drugs. The IPAP was 8～15 cmH2O and the EPAP was 2～5 cmH2O. Control group： twenty two patients were treated with traditional drugs.[Results]BiPAP group., patient＇s PaO2 was ascendent and PaCO2 was descendent. The total efficiency rate of BiPAP group was 100% , while that of control group was only 68. 2%. [Conclusion]Noninvasive BiPAP ventilation is a feasible and effective method in treating acute left heart failure.
出处
《医学临床研究》
CAS
2006年第8期1208-1209,共2页
Journal of Clinical Research
关键词
心力衰竭
充血性/治疗
急性病
正压呼吸
heart failure, congective/TH
acute disease
positive-pressure repiration
