| 卓振权,闫 红,范海鹏,赵国平,黄国亮,林建聪,杨建涛,徐震林,李志彬,郑雅风.无创呼吸机辅助治疗时机对急性左心衰竭并发Ⅱ型呼吸衰竭患者的影响[J].,2017,17(8):1551-1553 |
| 无创呼吸机辅助治疗时机对急性左心衰竭并发Ⅱ型呼吸衰竭患者的影响 |
| Effect Aid Time of Noninvasive Ventilator Assisted Therapy on Patients with Acute Left heart Failure Complicated with TypeⅡRespiratory Failure |
| 投稿时间：2016-10-11 修订日期：2016-10-29 |
| DOI：10.13241/j.cnki.pmb.2017.08.039 |
| 中文关键词: 无创呼吸机 急性左心衰竭 Ⅱ型呼吸衰竭 疗效 |
| 英文关键词: Noninvasive ventilator Acute left heart failure Type II respiratory failure Curative effect |
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| 中文摘要: |
| 摘要 目的：探究早期与延迟无创呼吸机辅助治疗急性左心衰竭并发II型呼吸衰竭的临床疗效。方法：选择2012年8月到2015年8月期间，我院收治临床确诊急性左心衰竭并发II型呼吸衰竭患者68例为研究对象，将随着随机分为观察组（35例）和对照组（33例）；观察组患者行早期无创呼吸机辅助治疗，对照组给予延迟无创呼吸机辅助治疗；观察并比较两组间治疗前后呼吸频率（RR）、心率（HR）、动脉氧分压（PaO2）及平均动脉压（MAP）、气管插管及气管切开通气率、住院时间及治疗有效率的情况。结果：疗后两组患者RR、HR、MAP均下降，MBP升高（P<0.05），且观察组患者RR、HR及MAP均低于对照组，PaO2均高于对照组，差异均有统计学意义（P<0.05）；治疗后观察组患者有效率显著高于对照组，气管切开及插管发生率、病情好转时间、住院时间均低于对照组(P<0.05)。结论：急性左心衰竭并发II型呼吸衰竭患者早期行无创呼吸机辅助治疗能显著改善患者症状、提高治疗有效率，缩短患者住院时间，具有较高的临床价值。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the clinical efficacy of early and delayed noninvasive ventilator in the treatment of acute left heart failure complicated with type II respiratory failure. Methods: 68 cases of acute left heart failure complicated with type II respiratory failure in our hospital were selected as study subjects from August 2012 to August 2015, which were divided into observation group (35 cases) and control group (33 cases); Patients in the observation group were treated with noninvasive ventilator assisted therapy, and the control group was treated with delayed noninvasive ventilator assisted therapy; To observed and compared respiratory rate (RR), heart rate (HR), arterial oxygen partial pressure (MBP), mean arterial pressure (map), tracheal intubation opened gas rate, hospitalization time and treatment efficiency of the cut between the two groups before and after treatment. Results: The RR,HR,MAP of patients were decreased, MBP were increased after treatment in both groups,(P<0.05),and the RR, HR and MAP of patients in observation group were lower than that of patients in control group, PaO2 were higher than that of control group(P<0.05); the efficiency of treatment in observation group was significantly higher than that of the control group, and the rate of tracheotomy and intubation, the length of improvement, the length of stay in hospital were lower than those in the control group after treatment(P<0.05). Conclusion: Noninvasive ventilator assisted therapy can significantly improve symptoms, improve treatment efficiency, shorten the hospitalization time of patients with Acute left heart failure complicated with type II respiratory failure, which has a high clinical value. |
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