摘要
目的:证实无创机械通气早期治疗急性左心衰有显著效果。方法:按入选标准选取ICU共40例急性左心衰患者,均按2010年急性左心衰治疗指南进行药物、病因及一般治疗;对照组共20例均予面罩吸氧,试验组共20例均予无创机械通气,治疗中符合排除标准的,改为有创机械通气。治疗中监测症状、心率、血压、血氧等变化,用无创心功能监测心输出量变化。结果:对照组有效16例,显效10例,总有效率80%;试验组有效19例,显效18例,总有效率95%;试验组有1例(5%)、对照组有4例(20%)需有创通气,两组气管插管率有统计学差异(P<0.05)。各项观察指标两组具有显著统计学差异(P<0.05)。结论:无创机械通气早期治疗急性左心衰有显著效果,对心输出量有显著改善。
Objective： To confirm a significant effect of early non-invasive mechanical ventilation for treat ment of patients with acute left heart failure. Methods： Based on ICU Ward selection criteria from January 2013 to October 2013, a total of 40 cases with acute lefi heart failure patients with first diagnosis were selected. All patients were treated according to 2010 Guidelines in Drug Therapy, Etiology Therapy and General Therapy of Acute Left Heart Failure Treatment; A total of 20 cases in the control group were given oxygen masks while 20 cases in the experimental group were treated by non-invasive ventilator. Patients conforming with exclusion criteria were given invasive mechanical ventilation instead of non-invasive mechanical ventilation in the treatment process. Changes in symptoms, heart rate, blood pressure, blood oxygen, and cadiac output by non-invasive heart function were monitored in the process of treatment. Results： Sixteen cases in the control group were improved with 10 cases showing marked effect, and the total effective rate was 80%;Experimental group 18 cases were markedly effective, 19 patients effectively, the total effective rate was 95%. One case received （5%）endotracheal intubation in the experimental group and 4 cases （20%） in control group with significant difference in endotracheal intubation rates （P〈0.05）. The observation indexes in the two groups had statistically significant differences （P〈0.05）. Conclusion： Early non-invasive mechanical ventilation treatment of acute left heart failure has a significant effect with improved cardiac output in patients with acute left heart failure.
出处
《天津医科大学学报》
2014年第5期370-373,共4页
Journal of Tianjin Medical University
关键词
无创机械通气
急性左心衰
无创心功能
心输出量
non-invasive mechanical ventilation
acute ]eft heart failure
non-invasive cardiac function
cardiac output
