Article Summary
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].现代生物医学进展英文版,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
  
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
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Author NameAffiliation
HUI Bo, XU Wen-liang, SHAO Yi-bing, WANG Xu,WANG Yan, LIU Yu-hao, LIU Hong, ZHANG Chun-quan, XU Li BiPAP 呼吸机急性心衰心功能B 型利钠肽 
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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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