| 惠波许文亮邵一兵王旭王燕刘玉昊刘虹张纯全徐莉.急性心力衰竭应用BiPAP 呼吸机疗效分析[J].,2012,12(6):1133-1136 |
| 急性心力衰竭应用BiPAP 呼吸机疗效分析 |
| Treatment Effect of Bilevel Positive Airway Pressure Ventilation in Patientswith Acute Heart Failure |
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| DOI： |
| 中文关键词: BiPAP 呼吸机 急性心衰 心功能 B 型利钠肽 |
| 英文关键词: Positive pressure ventilation Acutete heart failure Therapeutic result BNP |
| 基金项目: |
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| 中文摘要: |
| 目的：分析急性心力衰竭（AHF）患者应用双水平正压通气（BiPAP）呼吸机治疗的效应。方法：95 例急性左心衰竭患者随机分
为：A 组（应用BiPAP 呼吸机治疗）43 例和B 组（对照组，常规治疗）52 例。A 组在常规药物治疗的基础上，每天应用BiPAP 呼吸
机无创通气12～24 小时，全部用鼻罩；B 组仅应用常规药物治疗。疗程均为5 天。观察两组治疗前后临床疗效、B 型利钠肽
（BNP）、血气分析及心功能的变化。结果：显效率：BiPAP 组69.8％，对照组46.2％，两组有显著差异（P<0.05）。两组心功能、BNP、
血气分析，治疗后与治疗前相比均有显著差异（P＜0.05），治疗后BiPAP 组与对照组间比较有显著差异（P<0.05）。结论：BiPAP 呼
吸机能改善急性左心衰竭患者的症状、血气结果及心功能，还能降低BNP。 |
| 英文摘要: |
| Objective: To study the treatment effect of bilevel positive airway pressure (BiPAP) ventilation in patients with acute
heart failure (AHF). Methods: A total of 95 AHF patients were randomly divided into two groups: group A(treated with BiPAP, on the
basis of conventional medicines, every day using the BiPAP ventilation for 12～24 h,completely using the nose cup, 43 patients);group B
(control group, treated with conventional medicines, 52 patients). The treatment course was 5 days. BNP, the arterial blood gas and the
cardiac function were measured before and after treatment. Results: The excellence effective rate of the group A were 69.8%. BNP and
arterial blood gas in two group had remarkable difference (P<0.05). A%, while those of the group B were 46.2%（P<0.05). After
treatment, cardiac function, th fter treatment, compared with the group B, the group A had more improvement (P<0.05). Conclusion: The
BiPAP ventilation can not only improve the AHF patient's symptom, also improve the AHF patients arterial blood gas and cardiac
function, and decrease the BNP. |
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