急性心力衰竭应用BiPAP 呼吸机疗效分析

目的:分析急性心力衰竭(AHF)患者应用双水平正压通气(BiPAP)呼吸机治疗的效应。方法:95例急性左心衰竭患者随机分为:A组(应用BiPAP呼吸机治疗)43例和B组(对照组,常规治疗)52例。A组在常规药物治疗的基础上,每天应用BiPAP呼吸机无创通气12～24小时,全部用鼻罩;B组仅应用常规药物治疗。疗程均为5天。观察两组治疗前后临床疗效、B型利钠肽(BNP)、血气分析及心功能的变化。结果:显效率:BiPAP组69.8%,对照组46.2%,两组有显著差异(P<0.05)。两组心功能、BNP、血气分析,治疗后与治疗前相比均有显著差异(P<0.05),治疗后BiPAP组与对照组间比较有显著差异(P<0.05)。结论:BiPAP呼吸机能改善急性左心衰竭患者的症状、血气结果及心功能,还能降低BNP。

Treatment Effect of Bilevel Positive Airway Pressure Ventilation in Patients with Acute Heart Failure

Objective: To study the treatment effect of bilevel positive airway pressure(BiPAP) ventilation in patients with acute heart failure(AHF).Methods: A total of 95 AHF patients were randomly divided into two groups: group A(treated with BiPAP,on the basis of conventional medicines,every day using the BiPAP ventilation for 12～24 h,completely using the nose cup,43 patients);group B(control group,treated with conventional medicines,52 patients).The treatment course was 5 days.BNP,the arterial blood gas and the cardiac function were measured before and after treatment.Results: The excellence effective rate of the group A were 69.8%.BNP and arterial blood gas in two group had remarkable difference(P<0.05).A%,while those of the group B were 46.2%(P<0.05).After treatment,cardiac function,th fter treatment,compared with the group B,the group A had more improvement(P<0.05).Conclusion: The BiPAP ventilation can not only improve the AHF patient’s symptom,also improve the AHF patients arterial blood gas and cardiac function,and decrease the BNP.