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无创呼吸机在急性左心衰竭急诊救治中的疗效观察 被引量:19

Observation on effect of noninvasive ventilation in treatment of acute left heart failure in emergency
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摘要 目的研究分析无创呼吸机在急诊抢救急性左心衰竭的临床疗效。方法选取本院急诊收治的急性左心衰竭患者80例,随机分为对照组与观察组,对照组给予常规强心、利尿等药物治疗,治疗组在对照组基础上给予无创呼吸机进行治疗。检测两组PaO2、SaO2以及患者的心率、血压以及呼吸频率的变化情况。结果对照组总有效率67.5%,观察组总有效率为82.5%,观察组明显优于对照组,两组之间比较其差异明显具有统计学意义(P<0.05)。两组患者治疗后各项指标均有明显变化,与治疗前相比其差异明显具有统计学意义(P<0.05),观察组变化情况明显优于对照组,其差异明显具有统计学意义(P<0.05)。结论急性左心衰竭急诊急救过程中使用无创呼吸机治疗效果优异,患者更好的恢复,值得临床广泛应用。 Objective To study clinical effects of non-invasive ventilator in treatment of acute left heart failure in the emergency department.Methods 80 patients with acute left heart failure were selected in our hospital emergency patients,were randomly divided into control group and observation group,the control group was given conventional strong heart drug treatment,the treatment group was given noninvasive ventilator treatment,detected two groups of PaO 2,SaO 2 and the patient 's heart rate,blood pressure and changes of respiratory frequency.Results In the control group,the total efficiency of 67.5%,total effective rate in the observation group was 82.5%,the observation group was significantly better than the control group,the differences between the two groups were statistically significant(P 0.05).Two groups of patients after treatment all indexes had obvious changes,compared with before treatment,the difference has statistical significance(P 0.05),the observation group were significantly better than the control group,the difference was statistically significant(P 0.05).Conclusions Using non-invasive ventilation in the treatment of patients with acute left heart failure during the emergency process has excellent results,better recovery,worthy of clinical application.
作者 廉永刚
出处 《齐齐哈尔医学院学报》 2013年第17期2521-2522,共2页 Journal of Qiqihar Medical University
关键词 无创呼吸机 急性左心衰竭 急救 Noninvasive ventilation Acute left heart failure First aid
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