摘要
目的探讨BiPAP呼吸机对抢救急性左心衰竭的临床应用效果。方法将80例急性左心衰患者随机分成试验组和对照组各40例,对照组给予抗心力衰竭药物治疗;试验组在药物治疗基础上同时应用BiPAP呼吸机,即双水平气道正压通气。观察两组患者治疗前后临床症状、呼吸频率、心率、血气分析、平均动脉压变化及住院时间、住院费用、插管率、病死率。结果对照组有32例抢救成功,8例死亡;试验组有38例抢救成功,2例死亡;两组患者在治疗后30 min、3 h的临床症状、呼吸频率、心率、血气分析及平均动脉压有显著差异(P<0.05);实验组的住院时间、住院费用较对照组明显减少;插管率、病死率较对照组明显降低。结论 BiPAP呼吸机对抢救急性左心衰竭患者有一定的临床价值。
Objective To analyze the effect of BiPAP breathing machine to rescue acute left heart failure. Methods 80 patients with acute left heart failure were randomly divided into experimental group （40 cases） and control group （40 cases）. The control group and experimental group were treated with anti-heart failure drug therapy, but The experimental group was treated with BiPAP breathing machine additionally. The clinical symptoms, respiratory rate, heart rate, blood gas analysis, mean arterial blood pressure changes and length of stay, hospital costs, intubation rate and mortality rate were observed. Results In the control group, 8 patients died, 32 patients successfully rescued. In the experimental group, 2 patients died, 38 patients successfully rescued. The clinical symptoms, respiratory rate, heart rate, blood gas analysis and mean arterial pressure of the two groups were different from each other （P〈0.05）. The hospital stay, hospital costs of the experimental group were markedly reduced compared with that of the control group. The intubation rate and mortality of experimental group were significantly lower than that in the control group. Conclusion It is effective to treat acute left heart failure with BiPAP ventilation.
出处
《西部医学》
2011年第1期64-66,共3页
Medical Journal of West China
关键词
BIPAP呼吸机
急性左心衰竭
临床观察
Ventilator
Clinical observation
Acute left heart failure
Clinical effects
