中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2012年
6期
53-55
,共3页
双水平气道正压通气%顽固性心力衰竭%低氧血症
雙水平氣道正壓通氣%頑固性心力衰竭%低氧血癥
쌍수평기도정압통기%완고성심력쇠갈%저양혈증
Bi-level positive airway pressure ventilation%Refractory heart failure%Hypoxemia
目的 观察双水平气道正压通气(BiPAP)呼吸机面/鼻罩正压通气治疗顽固性心力衰竭所致低氧血症的临床疗效.方法 将48例顽固性心力衰竭所致低氧血症的患者采用完全随机设计方法,分为试验组23例和对照组25例,对照组采用常规治疗,试验组在常规治疗的基础上加用BiPAP呼吸机面/鼻罩正压通气治疗,所有患者分别在治疗前及治疗24h后测定pH值、动脉血氧分压及动脉血二氧化碳分压,并记录临床症状的变化.结果 24h后临床症状和各指标的改善情况试验组明显好于对照组.结论 BiPAP是治疗顽固性心力衰竭所致低氧血症的一种较好的无创通气模式.
目的 觀察雙水平氣道正壓通氣(BiPAP)呼吸機麵/鼻罩正壓通氣治療頑固性心力衰竭所緻低氧血癥的臨床療效.方法 將48例頑固性心力衰竭所緻低氧血癥的患者採用完全隨機設計方法,分為試驗組23例和對照組25例,對照組採用常規治療,試驗組在常規治療的基礎上加用BiPAP呼吸機麵/鼻罩正壓通氣治療,所有患者分彆在治療前及治療24h後測定pH值、動脈血氧分壓及動脈血二氧化碳分壓,併記錄臨床癥狀的變化.結果 24h後臨床癥狀和各指標的改善情況試驗組明顯好于對照組.結論 BiPAP是治療頑固性心力衰竭所緻低氧血癥的一種較好的無創通氣模式.
목적 관찰쌍수평기도정압통기(BiPAP)호흡궤면/비조정압통기치료완고성심력쇠갈소치저양혈증적림상료효.방법 장48례완고성심력쇠갈소치저양혈증적환자채용완전수궤설계방법,분위시험조23례화대조조25례,대조조채용상규치료,시험조재상규치료적기출상가용BiPAP호흡궤면/비조정압통기치료,소유환자분별재치료전급치료24h후측정pH치、동맥혈양분압급동맥혈이양화탄분압,병기록림상증상적변화.결과 24h후림상증상화각지표적개선정황시험조명현호우대조조.결론 BiPAP시치료완고성심력쇠갈소치저양혈증적일충교호적무창통기모식.
Objective To observe the clinical effect of bi-level positive airway pressure ventilation(BiPAP) repiratory therapy on hypoxemia due to refractory heart failure.Methods Forftyeight patients with hypoxemia due to refractory heart failure were divided into control group ( n =23) and treatment group ( n =25).The control group was treated with common therapy and the treatment group was treated with both common therapy and BiPAP.pH,PaO2 and PaCO2 were analyzed before and 24 h after therapy,meanwhile changes of clinical symptoms were recorded.Results Symptoms of the treatment group showed more improvement than the control group 24 h after therapy.Conclusions BiPAP is an optimistic and non traumatic method for treating hypoxemia due to refractory heart failure.
