国际呼吸杂志
國際呼吸雜誌
국제호흡잡지
INTERNATIONAL JOURNAL OF RESPIRATION
2013年
10期
772-774
,共3页
无创正压通气%妊娠%肺水肿
無創正壓通氣%妊娠%肺水腫
무창정압통기%임신%폐수종
Noninvasive positive pressure ventilation%Pregnency%Pulmonary edema
目的 评价无创正压通气(NIPPV)在妊娠合并肺水肿时的临床疗效和对胎儿的影响.方法 回顾性分析38例妊娠合并肺水肿患者,随机分为非治疗组和治疗组,非治疗组仅给予常规综合治疗,治疗组在常规综合治疗基础上加用NIPPV,监测两组患者治疗前和治疗后30、60、120 min的临床症状、体征、血气分析、每分心输出量(CO)和胎监评分,以及胎儿出生后1 min的Apgar评分.2h后评定临床疗效.结果 与非治疗组相比,治疗组治疗30、60、120 min后SaO2、PaO2、PaO2/FiO2、CO、胎监评分、胎儿出生后1 min的Apgar评分均增高(P＜0.05),心率、呼吸频率降低(P＜0.05),PaCO2、pH、平均血压则差异无统计学意义(P＞0.05),治疗2h后的临床总有效率和显效率均增高(P＜0.05),治疗组无严重不良反应.结论 NIPPV是治疗妊娠合并肺水肿安全、有效的方法,能显著改善胎儿宫内窘迫.
目的 評價無創正壓通氣(NIPPV)在妊娠閤併肺水腫時的臨床療效和對胎兒的影響.方法 迴顧性分析38例妊娠閤併肺水腫患者,隨機分為非治療組和治療組,非治療組僅給予常規綜閤治療,治療組在常規綜閤治療基礎上加用NIPPV,鑑測兩組患者治療前和治療後30、60、120 min的臨床癥狀、體徵、血氣分析、每分心輸齣量(CO)和胎鑑評分,以及胎兒齣生後1 min的Apgar評分.2h後評定臨床療效.結果 與非治療組相比,治療組治療30、60、120 min後SaO2、PaO2、PaO2/FiO2、CO、胎鑑評分、胎兒齣生後1 min的Apgar評分均增高(P＜0.05),心率、呼吸頻率降低(P＜0.05),PaCO2、pH、平均血壓則差異無統計學意義(P＞0.05),治療2h後的臨床總有效率和顯效率均增高(P＜0.05),治療組無嚴重不良反應.結論 NIPPV是治療妊娠閤併肺水腫安全、有效的方法,能顯著改善胎兒宮內窘迫.
목적 평개무창정압통기(NIPPV)재임신합병폐수종시적림상료효화대태인적영향.방법 회고성분석38례임신합병폐수종환자,수궤분위비치료조화치료조,비치료조부급여상규종합치료,치료조재상규종합치료기출상가용NIPPV,감측량조환자치료전화치료후30、60、120 min적림상증상、체정、혈기분석、매분심수출량(CO)화태감평분,이급태인출생후1 min적Apgar평분.2h후평정림상료효.결과 여비치료조상비,치료조치료30、60、120 min후SaO2、PaO2、PaO2/FiO2、CO、태감평분、태인출생후1 min적Apgar평분균증고(P＜0.05),심솔、호흡빈솔강저(P＜0.05),PaCO2、pH、평균혈압칙차이무통계학의의(P＞0.05),치료2h후적림상총유효솔화현효솔균증고(P＜0.05),치료조무엄중불량반응.결론 NIPPV시치료임신합병폐수종안전、유효적방법,능현저개선태인궁내군박.
Objective To assess the clinical effection of noninvasive positive pressure ventilation (NIPPV) in pregnant women with pulmonary edema and the influence of NIPPV on fetus.Methods 38 pregnant women with pulmonary edema were divided into control group and treatment group.The control group was treated with routine therapy,and the treatment group with routine therapy plus NIPPV.The clinical symptoms,signs,blood gas analysis,minute cardiac output (CO),and fetal monitoring scores were measured before treatment and at 30 min,60 min,120 min after treatment.The Apgar scores were measured after birth.The clinical effection was evaluated at 2 h after treatment.Results Compared with control group,SaO2,PaO2,PaO2/FiO2,CO,fetal monitoring scores at 30 min,60 min,120 min after treatment,and Apgar scores were increased in treatment group (P ＜0.05),heart rate and respiratory rate were decreased (P ＜0.05),and there was no statistical significance in PaCO2,pH,and mean blood pressure between two groups.The total effective rate and the obvious effective rate at 2 h after treatment in treatment group were higher than those in control group.There was no severe adverse reaction in treatment group.Conclusions NIPPV is an effective and safe therapy for pregnant women with pulmonary edema.It can also improve fetal distress markedly.
