中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
25期
116-117
,共2页
无创正压通气%心源性肺水肿%急性
無創正壓通氣%心源性肺水腫%急性
무창정압통기%심원성폐수종%급성
Non-invasive positive pressure ventilation%Cardiogenic pulmonary edema%Acute disease
目的：观察并分析无创正压通气治疗急性重症心源性肺水肿的临床效果。方法随机选取2013年2月-2015年3月该院收治的60例急性重症心源性肺水肿患者为研究对象，随机分为研究组和对照组，两组均采取常规药物治疗，研究组在此基础上采用无创正压通气治疗，观察并比较两组患者通气前和通气后体征、临床症状以及相关指标等的变化。结果经过1~4 h的无创通气治疗，患者的心率和呼吸频率与通气前相比明显减缓(P<0.001)，平均动脉压明显下降(P<0.001)，动脉血气分析的各项指标得到显著的改善(P<0.01)，相关的临床症状也明显缓解，且研究组的治疗效果明显优于对照组(P<0.01)，差异具有统计学意义。结论采用无创正压通气治疗急性重症心源性肺水肿可以迅速改善患者的低氧血症和心功能，有效缓解相关症状，心力衰竭病程缩短，是临床上治疗急性重症心源性肺水肿的有效治疗方法，值得推广和应用。
目的：觀察併分析無創正壓通氣治療急性重癥心源性肺水腫的臨床效果。方法隨機選取2013年2月-2015年3月該院收治的60例急性重癥心源性肺水腫患者為研究對象，隨機分為研究組和對照組，兩組均採取常規藥物治療，研究組在此基礎上採用無創正壓通氣治療，觀察併比較兩組患者通氣前和通氣後體徵、臨床癥狀以及相關指標等的變化。結果經過1~4 h的無創通氣治療，患者的心率和呼吸頻率與通氣前相比明顯減緩(P<0.001)，平均動脈壓明顯下降(P<0.001)，動脈血氣分析的各項指標得到顯著的改善(P<0.01)，相關的臨床癥狀也明顯緩解，且研究組的治療效果明顯優于對照組(P<0.01)，差異具有統計學意義。結論採用無創正壓通氣治療急性重癥心源性肺水腫可以迅速改善患者的低氧血癥和心功能，有效緩解相關癥狀，心力衰竭病程縮短，是臨床上治療急性重癥心源性肺水腫的有效治療方法，值得推廣和應用。
목적：관찰병분석무창정압통기치료급성중증심원성폐수종적림상효과。방법수궤선취2013년2월-2015년3월해원수치적60례급성중증심원성폐수종환자위연구대상，수궤분위연구조화대조조，량조균채취상규약물치료，연구조재차기출상채용무창정압통기치료，관찰병비교량조환자통기전화통기후체정、림상증상이급상관지표등적변화。결과경과1~4 h적무창통기치료，환자적심솔화호흡빈솔여통기전상비명현감완(P<0.001)，평균동맥압명현하강(P<0.001)，동맥혈기분석적각항지표득도현저적개선(P<0.01)，상관적림상증상야명현완해，차연구조적치료효과명현우우대조조(P<0.01)，차이구유통계학의의。결론채용무창정압통기치료급성중증심원성폐수종가이신속개선환자적저양혈증화심공능，유효완해상관증상，심력쇠갈병정축단，시림상상치료급성중증심원성폐수종적유효치료방법，치득추엄화응용。
Objective To observe and explore the effect of non-invasive positive pressure ventilation in the treatment of severe a-cute cardiogenic pulmonary edema. Methods 60 patients with severe acute cardiogenic pulmonary edema admitted to our hospital from February 2013 to April 2015 were selected and randomly divided into study group and control group. The control group was given conventional drug therapy, while the study group underwent non-invasive positive pressure ventilation based on the methods used in the control group. The changes of clinical symptoms, complications and related parameters before and after treatment were measured. Results After 1-4 h treatment with non-invasive positive pressure ventilation for patients in the study group, their heart rate and respiration rate, and their mean arterial pressure, as well as parameters of arterial blood gases all decreased significantly, P<0.001, and decreased significantly, P<0.001, and related complications improved. Further more, the efficacy was significantly better in the study group than in the control group, and the difference was statistically significant difference, P<0.01. Conclusion Non-invasive positive pressure ventilation could improve hypoxemia and cardiac function, relieve symptoms in patients with severe acute cardiogenic pulmonary edema and shorten the course of heart failure. It is a safe and effective method for treating severe a-cute pulmonary edema, and is worthy of promotion.
