中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
17期
30-31
,共2页
无创呼吸机%高龄慢性阻塞性肺疾病%左心衰竭
無創呼吸機%高齡慢性阻塞性肺疾病%左心衰竭
무창호흡궤%고령만성조새성폐질병%좌심쇠갈
Noninvasive ventilator%Elderly patients with chronic obstructive pulmonary disease%Left heart failure
目的 探讨无创呼吸机在高龄慢性阻塞性肺疾病合并左心衰竭患者中的应用价值.方法 将长治市第二人民医院64例80岁以上慢性阻塞性肺疾病合并左心衰竭患者随机分为观察组与对照组,每组32例.观察组在常规治疗基础上应用无创呼吸机治疗,对照组在常规治疗基础上应用面罩或鼻罩供氧,比较两组心率(HR)、呼吸(RR)、收缩压(SBP)、舒张压(DBP),并分析治疗前后血气分析及左室射血分数(LVEF).结果 经治疗后两组HR、RR显著下降(P＜0.05),观察组治疗后HR、RR分别为(77.41±5.64)次/min、(25.51±3.34)次/min,显著低于对照组的(81.53±3.94)次/min、(31.50±5.76)次/min(P ＜0.05),两组SBP、DBP比较差异未见统计学意义(P＞0.05);治疗后两组pH、PaO2、LVEF相比治疗前显著上升,而PaCO2显著下降(P＜0.05),观察组PaO2、LVEF分别为(77.68±9.31)mm Hg(1 mm Hg =0.133 kPa)、(39.61±3.16)％,显著高于对照组的(68.51±7.68)mm Hg、(35.05±4.89)％,PaCO2为(47.65±5.10)mm Hg,显著低于对照组的(54.39±4.87)mm Hg(P ＜0.05),pH值两组比较差异未见统计学意义(P＜0.05).结论 无创呼吸机治疗高龄慢性阻塞性肺疾病合并左心衰竭的效果显著,可避免有创通气产生的不良影响,具有较高临床应用价值.
目的 探討無創呼吸機在高齡慢性阻塞性肺疾病閤併左心衰竭患者中的應用價值.方法 將長治市第二人民醫院64例80歲以上慢性阻塞性肺疾病閤併左心衰竭患者隨機分為觀察組與對照組,每組32例.觀察組在常規治療基礎上應用無創呼吸機治療,對照組在常規治療基礎上應用麵罩或鼻罩供氧,比較兩組心率(HR)、呼吸(RR)、收縮壓(SBP)、舒張壓(DBP),併分析治療前後血氣分析及左室射血分數(LVEF).結果 經治療後兩組HR、RR顯著下降(P＜0.05),觀察組治療後HR、RR分彆為(77.41±5.64)次/min、(25.51±3.34)次/min,顯著低于對照組的(81.53±3.94)次/min、(31.50±5.76)次/min(P ＜0.05),兩組SBP、DBP比較差異未見統計學意義(P＞0.05);治療後兩組pH、PaO2、LVEF相比治療前顯著上升,而PaCO2顯著下降(P＜0.05),觀察組PaO2、LVEF分彆為(77.68±9.31)mm Hg(1 mm Hg =0.133 kPa)、(39.61±3.16)％,顯著高于對照組的(68.51±7.68)mm Hg、(35.05±4.89)％,PaCO2為(47.65±5.10)mm Hg,顯著低于對照組的(54.39±4.87)mm Hg(P ＜0.05),pH值兩組比較差異未見統計學意義(P＜0.05).結論 無創呼吸機治療高齡慢性阻塞性肺疾病閤併左心衰竭的效果顯著,可避免有創通氣產生的不良影響,具有較高臨床應用價值.
목적 탐토무창호흡궤재고령만성조새성폐질병합병좌심쇠갈환자중적응용개치.방법 장장치시제이인민의원64례80세이상만성조새성폐질병합병좌심쇠갈환자수궤분위관찰조여대조조,매조32례.관찰조재상규치료기출상응용무창호흡궤치료,대조조재상규치료기출상응용면조혹비조공양,비교량조심솔(HR)、호흡(RR)、수축압(SBP)、서장압(DBP),병분석치료전후혈기분석급좌실사혈분수(LVEF).결과 경치료후량조HR、RR현저하강(P＜0.05),관찰조치료후HR、RR분별위(77.41±5.64)차/min、(25.51±3.34)차/min,현저저우대조조적(81.53±3.94)차/min、(31.50±5.76)차/min(P ＜0.05),량조SBP、DBP비교차이미견통계학의의(P＞0.05);치료후량조pH、PaO2、LVEF상비치료전현저상승,이PaCO2현저하강(P＜0.05),관찰조PaO2、LVEF분별위(77.68±9.31)mm Hg(1 mm Hg =0.133 kPa)、(39.61±3.16)％,현저고우대조조적(68.51±7.68)mm Hg、(35.05±4.89)％,PaCO2위(47.65±5.10)mm Hg,현저저우대조조적(54.39±4.87)mm Hg(P ＜0.05),pH치량조비교차이미견통계학의의(P＜0.05).결론 무창호흡궤치료고령만성조새성폐질병합병좌심쇠갈적효과현저,가피면유창통기산생적불량영향,구유교고림상응용개치.
Objective To study the application value of noninvasive ventilation in elderly patients with chronic obstructive pulmonary disease complicated with left heart failure.Methods Sixty-four patients aged over 80 with chronic obstructive pulmonary disease complicated with left heart failure were randomly divided into observation group and control group,with 32 cases in each group,the observation group non-invasive ventilation treatment on the basis of conventional treatment and control group face mask or nasal mask oxygen based on conventional treatment,compared HR,RR,SBP,DBP of two groups was compared,and LVEF and blood gas before and after treatment was analyzed.Results After treatment,HR,RR of two groups decreased significantly (P ＜ 0.05),HR,RR of observation group after treatment were (77.41 ±5.64)/min,(25.51 ± 3.34)/min,which were significantly lower than those of control group [(81.53 ± 3.94)/min,(31.50 ± 5.76)/min] (P ＜ 0.05),but there was no significant difference between SBP and DBP of two groups (P ＞ 0.05);After treatment,PH,PaO2 and LVEF of two groups was significantly increased,while PaCO2 decreased significantly (P ＜ 0.05),PaO2 and LVEF of observation group were (77.68 ± 9.31) mm Hg (1 mm Hg =0.133 kPa) and (39.61 ± 3.16) ％,which were significantly higher than those of control group [(68.51 ± 7.68) mm Hg,(35.05 ±4.89)％],PaCO2 of observation group [(47.65 ± 5.10) mm Hg] was significantly lower than that of control group[(54.39 ±4.87)mm Hg] (P ＜0.05),there was no significant difference in pH value between the two groups (P ＜ 0.05).Conclusions The effect of non invasive ventilation on left heart failure with elderly chronic obstructive pulmonary disease is significant,can avoid adverse effect of noninvasive ventilation produces,so it has high value in clinical application.
