CAJ | 학술논문

目的：观察无创机械通气治疗急性左心衰竭的疗效。方法选择我院急诊监护室2010年1月~2014年6月收治的急性左心衰竭患者86例，随机分为观察组及对照组，每组43例；观察组在传统药物治疗基础上给予无创呼吸机治疗，对照组给予传统药物治疗及吸氧。比较治疗4h后两组患者的心率、呼吸频率、动脉血气指标及临床疗效情况。结果两组治疗前后的心率、呼吸频率、氧分压、血氧饱和度的差异均有统计学意义（均P<0.01）；观察组的治疗效果显著优于对照组（均P<0.01）；观察组的总有效率显著高于对照组（P<0.05）。结论无创机械通气治疗能迅速改善急性左心衰竭患者的症状并纠正低氧血症，疗效显著。
목적：관찰무창궤계통기치료급성좌심쇠갈적료효。방법선택아원급진감호실2010년1월~2014년6월수치적급성좌심쇠갈환자86례，수궤분위관찰조급대조조，매조43례；관찰조재전통약물치료기출상급여무창호흡궤치료，대조조급여전통약물치료급흡양。비교치료4h후량조환자적심솔、호흡빈솔、동맥혈기지표급림상료효정황。결과량조치료전후적심솔、호흡빈솔、양분압、혈양포화도적차이균유통계학의의（균P<0.01）；관찰조적치료효과현저우우대조조（균P<0.01）；관찰조적총유효솔현저고우대조조（P<0.05）。결론무창궤계통기치료능신속개선급성좌심쇠갈환자적증상병규정저양혈증，료효현저。
Objective To observe the curative effects of noninvasive mechanical ventilation in the treatment of acute left heart failure. Methods All 86 patients with acute left heart failure who were admitted to EICU in our hospital from January 2010 to June 2014 were selected. They were randomly assigned to observation group and control group, with 43 patients in each group; the observation group was given noninvasive ventilator on the basis of conventional medical treatment, and the control group was given conventional medical treatment and oxygen uptake. Heart rate, respiratory rate, ABG index and clinical effects between the two groups 4 hours after the treatment were compared. Results The differences of heart rate, respiratory rate, oxygen partial pressure and oxygen saturation before and after the treatment in the two groups were both statistically significant (P<0.01); curative effects in the observation group were signifi cantly better than those in the control group,and the difference was statistically significant(P<0.01); the difference of total effective rate in the two groups was statistically significant(P<0.05). Conclusion Noninvasive mechanical ventilation is able to rapidly improve the symptoms of acute left heart failure and correct hyoxemia, which has significant curative effect.