摘要
目的探究对于急性心力衰竭患者无创通气和经鼻高流量氧疗的临床疗效。方法选取2018年5月—2021年4月该院ICU科室收治的72例急性心衰患者进行回顾性分析,将这72例心衰患者依据治疗方法的不同分为二组,应用无创通气的急性心衰患者为观察组,应用经鼻高流量氧疗的急性心衰患者为对照组。对比观察二组患者的生命体征、并发症、住ICU时间、血气分析等指标。结果二组患者治疗后心率(HR)、呼吸频率(RR)、平均动脉压(MAP)、氧合指数(P/F)、B型钠尿肽(BNP)、动脉血pH、动脉血氧分压(PO2)、动脉血二氧化碳分压(PCO2)指标较治疗前均有所改善(P<0.05),治疗后观察组与对照组相改善更明显,差异有统计学意义(P<0.05);二组患者的并发症无统计学差异(P>0.05);观察组的住ICU时间更短,差异有统计学意义(P<0.05);观察组总有效率高于对照组,差异有统计学意义(P<0.05)。结论两种方法治疗急性心力衰竭患者均有一定疗效,但应用无创通气的观察组患者在相关指标和总有效率更高,治疗效果更优;因此,无创通气治疗应用在急性心力衰竭患者中更为有效。
Objective To investigate the clinical efficacy of noninvasive ventilation and high nasal flow oxygen therapy in patients with acute heart failure.Methods Seventy-two patients with acute HF admitted to the ICU department from May 2018 to April 2021 were selected, and the seventy-two patients were divided into two groups according to different treatment methods.Acute HF patients with non-invasive ventilation were the observation group, and acute HF with high nasal flow oxygen therapy were the control group.The vital signs, complications, icu time and blood gas analysis were compared between the two groups.Results Heart rate(HR),respiratory frequency(RR),mean arterial pressure(MAP),oxygenation index(P/F),type B sodium urine peptide(BNP),arterial blood PH,arterial blood oxygen partial pressure(PO;),arterial blood carbon dioxide partial pressure(PCO;) index all improved compared with before treatment(P<0.05),The improvement between the observed and control groups was more significantly after treatment, Differdifference were statistical(P<0.05);There were no statistically significant differences in the complications between the two groups(P>0.05);The observation group lived icu for shorter times, Differdifference were statistical(P<0.05);The observed group was statistically more efficient than statistically significant(P<0.05).Conclusion Both methods treat patients with acute heart failure, but patients with non-invasive ventilation are more efficient and more effective;therefore, noninvasive ventilation is more effective in patients with acute heart failure.
作者
张丽
杨芳杰
高健
吕婕
张于
高媛媛
汤琳
于双梅
王宝民
ZHANG Li;YANG Fangjie;GAO Jian;LV Jie;ZHANG Yu;GAO Yuanyuan;TANG Lin;YU Shuangmei;WANG Baomin(Tangshan Peopled Hospital,Tangshan 063000,China)
出处
《中国煤炭工业医学杂志》
2021年第6期636-640,共5页
Chinese Journal of Coal Industry Medicine
基金
2019年度河北省医学科学研究课题计划(编号:20191603)。
关键词
经鼻高流量氧疗
无创通气
急性心力衰竭
High nasal flow oxygen therapy
Noninvasive ventilation
Acute heart failure
