中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2012年
4期
8-10
,共3页
无创呼吸机%左心衰竭%院前急救%老年人
無創呼吸機%左心衰竭%院前急救%老年人
무창호흡궤%좌심쇠갈%원전급구%노년인
BiPAP breathing machine%Left heart failure%First aid outside hospital%Elderly patients
目的 探讨无创呼吸机双水平正压无创通气(BiPAP)在急性左心衰竭老年患者院前急救的临床效果.方法 回顾性分析84例急性左心衰竭老年患者的临床资料,其中院前急救组(A组)42例,自行来院就诊的42例患者为对照组(B组),对A组42例急性左心衰竭老年患者,在院前采用BiPAP呼吸机面罩正压通气治疗,观察血压、心率、呼吸及临床症状,并与B组进行对照分析.结果 A组显效率为47.62％,明显高于B组的14.29％(P＜0.05)；且总有效率为78.57％,明显高于B组的38.10％(P＜0.05).结论 无创呼吸机双水平正压无创通气院前急救可较早改善急性左心衰竭老年患者的临床症状,阻止病情恶化,降低病死率.
目的 探討無創呼吸機雙水平正壓無創通氣(BiPAP)在急性左心衰竭老年患者院前急救的臨床效果.方法 迴顧性分析84例急性左心衰竭老年患者的臨床資料,其中院前急救組(A組)42例,自行來院就診的42例患者為對照組(B組),對A組42例急性左心衰竭老年患者,在院前採用BiPAP呼吸機麵罩正壓通氣治療,觀察血壓、心率、呼吸及臨床癥狀,併與B組進行對照分析.結果 A組顯效率為47.62％,明顯高于B組的14.29％(P＜0.05)；且總有效率為78.57％,明顯高于B組的38.10％(P＜0.05).結論 無創呼吸機雙水平正壓無創通氣院前急救可較早改善急性左心衰竭老年患者的臨床癥狀,阻止病情噁化,降低病死率.
목적 탐토무창호흡궤쌍수평정압무창통기(BiPAP)재급성좌심쇠갈노년환자원전급구적림상효과.방법 회고성분석84례급성좌심쇠갈노년환자적림상자료,기중원전급구조(A조)42례,자행래원취진적42례환자위대조조(B조),대A조42례급성좌심쇠갈노년환자,재원전채용BiPAP호흡궤면조정압통기치료,관찰혈압、심솔、호흡급림상증상,병여B조진행대조분석.결과 A조현효솔위47.62％,명현고우B조적14.29％(P＜0.05)；차총유효솔위78.57％,명현고우B조적38.10％(P＜0.05).결론 무창호흡궤쌍수평정압무창통기원전급구가교조개선급성좌심쇠갈노년환자적림상증상,조지병정악화,강저병사솔.
Objective To investigate the clinical efficacy of first aid outside hospital with BiPAP breathing machine on elderly patients with acute left heart failure(ALHF).Methods The clinical data of 84 elderly patients with ALHF were analyzed retrospectively.Forty-two patients who treated with first aid outside hospital were in group A and 42 patients came to hospital themselves were in group B.Forty-two patients with acute left heart failure were received therapy outside hospital with bi-level positive airway pressure and traditional treatment,the blood pressure,heart rate,breath rate and clinical symptoms were observed and compared with those of 42 patients in group B.Results The effective rate of group A was 47.62％,which was significantly higher than that of group B(14.29％,P＜0.05); And the total effective rate of group A was 78.57％,which was obviously higher than that of group B(38.10％,P＜0.05).Conclusions First aid outside hospital with BiPAP breathiug machine may improve the heart function of patiems with ALHF.It can prevent the condition of disease from deteriorating and reduce the mortality.
