摘要
目的:研究经面罩机械通气(FMMV)对重症急性左心衰竭患者的治疗效果。方法:回顾分析56例重症急性左心衰竭患者FMMV后的效果(治疗组),并与传统药物治疗方法(对照组)56例比较,观察患者心率、呼吸频率、动脉血气等变化。结果:治疗组患者均能教好地耐受FMMV。2h后49例呼吸困难等临床症状明显改善,心率由(136±14)次.min-1降至(89±10)次.min-1(P<0.05),呼吸频率由(38±4)次.min-1降至(26±3)次.min-1(P<0.05),PaO2由(50.10±8.70)mmHg上升至(92.50±10.20)mmHg(P<0.05),而对照组治疗前后临床症状与动脉血气变化不明显,两组比较均有统计学差异(P<0.05)。结论:与用传统药物治疗方法相比,FMMV可迅速纠正低氧血症,改善重症急性左心衰竭患者的循环和呼吸功能。
Objective： To observe therapeutic effects of severe acute left heart failure with face mask mechanical ventilation （FMMV）. Methods： A case control study was designed： 56 severe acute left heart failure patients received FMMV in treated group,while 56 cases with comparable baseline datum in control group received medications therapy. The clinic symptoms, signs and artery blood gases were analyzed. Results： The respiratory rates of treated group decreased from（38 ± 4）/min to （26±3）/min（P〈0. 05） ,heart rates of treated group decreased from （136 ＋ 14）/min to （89± 10）/min（P〈0.05）, the PaO2 of treated group rose from （50. 10± 8.70）mmHg to（92.50 ± 10.20）mmHg（P〈0.05）. Conclusion：Based on these datum FMMV has proved beneficial and quickly improvement in cardiac function and pulmonary function in severe acute left heart failure.
出处
《中国临床医学》
北大核心
2008年第6期764-765,共2页
Chinese Journal of Clinical Medicine
关键词
急性心力衰竭
机械通气
Acute heart failure
Mechanical ventilation
