CAJ | 학술논문

目的分析机械辅助通气在抢救急性心衰患者中的效果及护理措施.方法将82例急性左心衰患者分为对照组和治疗组,各41例.对照组给予常规的强心、利尿等治疗,治疗组在常规治疗的基础上使用机械辅助通气.观察两组患者的临床症状改善情况,比较两组治疗有效率,并对1h、24h、48 h后的血气分析结果进行比较.结果治疗组的总有效率为92.68％,对照组的总有效率为70.73％,两组比较差异有统计学意义(P＜ 0.05).治疗组1h后呼吸困难、血气分析指标改善明显优于对照组(P＜0.05).结论在急性心衰患者的抢救过程中,机械辅助通气可以帮助改善呼吸症状,纠正低氧血症的效果.
목적 분석궤계보조통기재창구급성심쇠환자중적효과급호리조시.방법 장82례급성좌심쇠환자분위대조조화치료조,각41례.대조조급여상규적강심、이뇨등치료,치료조재상규치료적기출상사용궤계보조통기.관찰량조환자적림상증상개선정황,비교량조치료유효솔,병대1h、24h、48 h후적혈기분석결과진행비교.결과 치료조적총유효솔위92.68％,대조조적총유효솔위70.73％,량조비교차이유통계학의의(P＜ 0.05).치료조1h후호흡곤난、혈기분석지표개선명현우우대조조(P＜0.05).결론 재급성심쇠환자적창구과정중,궤계보조통기가이방조개선호흡증상,규정저양혈증적효과.
Objective To analyze and evaluate the clinical effect and nursing measures of assisted mechanical ventilation in patients with acute left ventricular failure.Methods 82 patients with acute left ventricular failure in our hospital were divided into control group and treatment group,41 cases in each group.Control group was treated with conventional cardiac,diuretic therapy,while treatment group was treated with assisted mechanical ventilation on the basis of conventional therapy.Observed clinical improved symptoms and blood gas analysis index after 1,24,48 h of two groups.Results The total effective rate of treatment group was 92.68％,and that of control group was 70.73％,with statistically significant difference between two groups (P ＜ 0.05).1 hour after treatment,dyspnea and blood gas analysis index in treatment group were significantly better that those in control group (P ＜ 0.05).Conclusion Assisted mechanical ventilation can improve respiratory symptoms and correct hypoxemia in patients with acute left ventricular failure in the rescue process.