中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
10期
60-62
,共3页
BIPAP%急性左心衰%低血压
BIPAP%急性左心衰%低血壓
BIPAP%급성좌심쇠%저혈압
BiPAP%Acute left ventricular failure%Hypotension
目的：探讨BiPAP对急性左心衰竭合并低血压有效性。方法：64例急性左心衰合并低血压患者，按照随机数字表法分为治疗组和对照组，每组32例，治疗组采用BiPAP及药物治疗，对照组采用鼻导管及药物治疗，观察治疗前后收缩压、动脉血气分析、NT-proBNP水平。结果：（1）两组患者经治疗24 h后心衰症状均缓解，但1 h后治疗组指尖血氧饱和度更快恢复正常水平（P<0.05）。（2）治疗组在治疗后1 h心率、收缩压恢复正常，与对照组比较差异有统计学意义（P<0.05）。24 h两组NT-proBNP下降，两组比较差异有统计学意义（P<0.05）。（3）1 h后治疗组动脉血氧分压显著升高，两组比较差异有统计学意义（P<0.05）。结论：联合BiPAP能迅速缓解急性左心衰合并低血压临床症状，未见血压进一步下降。
目的：探討BiPAP對急性左心衰竭閤併低血壓有效性。方法：64例急性左心衰閤併低血壓患者，按照隨機數字錶法分為治療組和對照組，每組32例，治療組採用BiPAP及藥物治療，對照組採用鼻導管及藥物治療，觀察治療前後收縮壓、動脈血氣分析、NT-proBNP水平。結果：（1）兩組患者經治療24 h後心衰癥狀均緩解，但1 h後治療組指尖血氧飽和度更快恢複正常水平（P<0.05）。（2）治療組在治療後1 h心率、收縮壓恢複正常，與對照組比較差異有統計學意義（P<0.05）。24 h兩組NT-proBNP下降，兩組比較差異有統計學意義（P<0.05）。（3）1 h後治療組動脈血氧分壓顯著升高，兩組比較差異有統計學意義（P<0.05）。結論：聯閤BiPAP能迅速緩解急性左心衰閤併低血壓臨床癥狀，未見血壓進一步下降。
목적：탐토BiPAP대급성좌심쇠갈합병저혈압유효성。방법：64례급성좌심쇠합병저혈압환자，안조수궤수자표법분위치료조화대조조，매조32례，치료조채용BiPAP급약물치료，대조조채용비도관급약물치료，관찰치료전후수축압、동맥혈기분석、NT-proBNP수평。결과：（1）량조환자경치료24 h후심쇠증상균완해，단1 h후치료조지첨혈양포화도경쾌회복정상수평（P<0.05）。（2）치료조재치료후1 h심솔、수축압회복정상，여대조조비교차이유통계학의의（P<0.05）。24 h량조NT-proBNP하강，량조비교차이유통계학의의（P<0.05）。（3）1 h후치료조동맥혈양분압현저승고，량조비교차이유통계학의의（P<0.05）。결론：연합BiPAP능신속완해급성좌심쇠합병저혈압림상증상，미견혈압진일보하강。
Objective:To observe the effect of bi-level positive airway pressure(BiPAP)on patients with acute left ventricular failure and hypotension. Method:Sixty-four patients with acute left ventricular failure and hypotension were randomly divided into control group(32 cases)and treatment group(32 cases). The control group received the conventional drug therapy,and the treatment group was treated with BiPAP in addition. The changes of systolic blood pressure(SBP), artery blood gas,and N-terminal pro-brain natriuretic peptide(NT-proBNP)in two groups were observed in 0 h,1 h,24 h after hospitalized. Result:(1)Clinic symptoms of all patients were improved,but the finger tip oxygen saturation was significant elevator after 1 hour in treatment group,quantitative value of treatment group was higher than that of the control group(P<0.05).(2)Level of heart rate and systolic blood pressure was rapidly recovery after 1 hour,there was significantly difference between the two groups,level of NT-proBNP gradually decreased after 24 hour treatment,there was significant difference between the two groups(P<0.05).(3)Arterial partial pressure of oxygen(PaO2)significantly increased after 1 hour treatment(P<0.05),it was significantly different between the two groups. Conclusion:The symptoms are rapidly relieve in acute left ventricular failure and hypotension combination with BiPAP,phenomenon of hypotension is not happen further by using BiPAP.
