CAJ | 학술논문

目的探讨在重症监护病房中双水平正压(BiPAP)无创通气治疗急性心源性肺水肿的疗效.方法将80例急性心源性肺水肿患者随机分成两组:对照组40例,给予常规治疗(吸氧、镇静、强心、利尿、血管扩张药、激素、解痉平喘等);治疗组40例,在常规治疗的基础上,加用无创正压通气治疗.观察两组患者治疗前后临床症状、体征和动脉血气分析的变化.结果治疗组进行无创机械通气后,37例患者在2 h内症状好转,呼吸减慢,心率下降,肺部湿哆音减少,动脉氧分压(PaCO2)上升,动脉二氧化碳分压(PaCO2)下降,总有效率为92.5%;对照组在相应时间仅23例好转,有效率为57.5%;两组相比差异有统计学意义(P<0.05).结论在发生急性心源性肺水肿时,双水平正压无创通气治疗安全,效果显著.
목적 탐토재중증감호병방중쌍수평정압(BiPAP)무창통기치료급성심원성폐수종적료효.방법 장80례급성심원성폐수종환자수궤분성량조:대조조40례,급여상규치료(흡양、진정、강심、이뇨、혈관확장약、격소、해경평천등);치료조40례,재상규치료적기출상,가용무창정압통기치료.관찰량조환자치료전후림상증상、체정화동맥혈기분석적변화.결과 치료조진행무창궤계통기후,37례환자재2 h내증상호전,호흡감만,심솔하강,폐부습치음감소,동맥양분압(PaCO2)상승,동맥이양화탄분압(PaCO2)하강,총유효솔위92.5%;대조조재상응시간부23례호전,유효솔위57.5%;량조상비차이유통계학의의(P<0.05).결론 재발생급성심원성폐수종시,쌍수평정압무창통기치료안전,효과현저.
Objective To investigate the clinical value of Bi - level positive airway pressure( Bi-PAP) noninvasive ventilation on acute cardiogeni(c) pulmonary edema. Methods Eighty patients with a cute cardiogenic pulmonary edema were randomly divided into two groups: treatment group and control group. Forty patients in the treatment group were treated with noninvasive mask Bi -level positive airway pressure (BiPAP) ventilation in addition to conventional treatment. Forty patients in the control group were treated by nasal pipe with oxygen in addition to conventional treatment. Patients were observed before and after the clinical symptoms,signs and arterial blood gas analysis. Results After BiPAP ventilation,the clinical symptoms of 37 patients in the treatment group had been improved significantly in two hours.Also, the clinical symptoms and arterial blood gas parameters ( pH, PaO2, PaCO2, SaO2 ) showed a statistical differences ( P <0. 05 ) compared with control group. The total efficiency rate of treatment group was 92.5% ,while that of control group was only 57.5%. Conclusions Bi - level positive airway pressure therapy is effictive and safe in acute pulmonary edema.