中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2015年
2期
10-10,12
,共2页
左心衰竭%无创正压通气
左心衰竭%無創正壓通氣
좌심쇠갈%무창정압통기
Left heart failure%Non trauma positive pressure ventilation
目的：观察BiPAP无创正压通气（NIPPV）在急性左心衰竭抢救中的疗效。方法165例住院急性左心衰竭患者随机分为2组，治疗组（BiPAP组）82例在常规抗心力衰竭药物治疗的基础上时联用BiPAP呼吸机进行无创通气治疗；对照组83例只常规抗心衰药物治疗，记录治疗前后症状、体征、血流动力学。结果 BiPAP组患者临床症状、体征、明显改善，显效率63.8%，总有效率96.3%；对照组显效率79.2%，总有效率85.5%，2组间显效率差异有显著性。结论 BiPAP无创正压通气治疗急性左心衰竭时能迅速改善患者症状和低氧血症，是一种快速安全有效的抢救措施。
目的：觀察BiPAP無創正壓通氣（NIPPV）在急性左心衰竭搶救中的療效。方法165例住院急性左心衰竭患者隨機分為2組，治療組（BiPAP組）82例在常規抗心力衰竭藥物治療的基礎上時聯用BiPAP呼吸機進行無創通氣治療；對照組83例隻常規抗心衰藥物治療，記錄治療前後癥狀、體徵、血流動力學。結果 BiPAP組患者臨床癥狀、體徵、明顯改善，顯效率63.8%，總有效率96.3%；對照組顯效率79.2%，總有效率85.5%，2組間顯效率差異有顯著性。結論 BiPAP無創正壓通氣治療急性左心衰竭時能迅速改善患者癥狀和低氧血癥，是一種快速安全有效的搶救措施。
목적：관찰BiPAP무창정압통기（NIPPV）재급성좌심쇠갈창구중적료효。방법165례주원급성좌심쇠갈환자수궤분위2조，치료조（BiPAP조）82례재상규항심력쇠갈약물치료적기출상시련용BiPAP호흡궤진행무창통기치료；대조조83례지상규항심쇠약물치료，기록치료전후증상、체정、혈류동역학。결과 BiPAP조환자림상증상、체정、명현개선，현효솔63.8%，총유효솔96.3%；대조조현효솔79.2%，총유효솔85.5%，2조간현효솔차이유현저성。결론 BiPAP무창정압통기치료급성좌심쇠갈시능신속개선환자증상화저양혈증，시일충쾌속안전유효적창구조시。
Objective To observe BiPAP NIPPV’s clinical therapeutic effect on rescuing left heart failure. Method Randomly divide 82 cases into 2 groups, BiPAP group 83 cases treated with BiPAP respiratory machine for non trauma ventilation therapy on the base of routine anti heart failure medicine, the control one 25 cases were treated with anti heart failure drugs;record the symptoms, signs, hemodynamics, then analyse all parameters. Result In BiPAP group,the clinical symptoms,signs and blood gas were much improved, the marked effective rate 63.8%, the total effective rate 96.3%;79.2%and 85.5%for the control one respectively;two groups had obvious difference. Conclusion Face cover NIPPV treating acute left heart failure can speedily relieve patients’ symptoms and low oxygen blood syndrome, being a quick, safe and effective rescue.
