CAJ | 학술논문

目的：观察有创及无创机械通气抢救急性重症左心衰竭患者的临床应用效果。方法选择本院收治125例急性重症左心衰竭患者为研究对象，随机分为有创机械通气组(68例)和无创机械通气组(57例)，观察并比较两组患者的抢救效果。结果有创机械通气组患者的生命体征和血气分析指标改善情况明显优于无创机械通气组，差异有统计学意义(P<0.01)；治疗后两组患者血清脑钠肽水平较治疗前均明显降低，差异有统计学意义(P<0.01)；治疗后有创机械通气组血清脑钠肽水平较无创机械通气组显著降低，差异有统计学意义(P<0.01)。结论机械通气治疗急性左心衰竭，能够有效改善患者的低氧血症，缓解患者的临床症状，是抢救急性重症左心衰竭患者安全有效的措施，且有创机械通气比无创机械通气的治疗效果更佳。
목적：관찰유창급무창궤계통기창구급성중증좌심쇠갈환자적림상응용효과。방법선택본원수치125례급성중증좌심쇠갈환자위연구대상，수궤분위유창궤계통기조(68례)화무창궤계통기조(57례)，관찰병비교량조환자적창구효과。결과유창궤계통기조환자적생명체정화혈기분석지표개선정황명현우우무창궤계통기조，차이유통계학의의(P<0.01)；치료후량조환자혈청뇌납태수평교치료전균명현강저，차이유통계학의의(P<0.01)；치료후유창궤계통기조혈청뇌납태수평교무창궤계통기조현저강저，차이유통계학의의(P<0.01)。결론궤계통기치료급성좌심쇠갈，능구유효개선환자적저양혈증，완해환자적림상증상，시창구급성중증좌심쇠갈환자안전유효적조시，차유창궤계통기비무창궤계통기적치료효과경가。
Objective To evaluate the effectiveness of invasive and non-invasive mechanical ventilation in treating se-vere acute left heart failure. Methods 125 cases with severe acute left heart failure were randomly divided into invasive mechanical ventilation group (68 cases) and non-invasive mechanical ventilation group (57 cases).The effectiveness be-tween the two groups was compared. Results The improvement of vital signs and blood gas analysis indexes in invasive mechanical ventilation group was significantly better than the non-invasive mechanical ventilation group (P<0.01).After treatment,serum brain natriuretic peptide levels in both groups were significantly lower than before treatment,the differ-ence was statistically significant (P<0.01).After treatment,serum brain natriuretic peptide levels in invasive mechanical ventilation group was lower than noninvasive mechanical ventilation group,showing significant statistically difference (P<0.01). Conclusion Mechanical ventilation is a safe and effective therapy for the treatment of patients with severe a-cute left heart failure,which can improve hypoxemia and relieve symptoms of patients,and invasive mechanical ventila-tion treatment shows more effective than non-invasive mechanical ventilation treatment.