急诊应用无创正压通气治疗急性左心衰疗效观察
摘要
目的探讨急诊应用无创正压通气治疗急性左心衰疗效。方法将2017年1月～2018年7月期间急诊科收治的共计86例急性左心衰竭患者使用数字表随机分组方法,分为研究组与对照组,两组均为43例。对照组采用常规治疗,研究组在对照组基础上联合无创正压通气治疗。两组治疗24 h后对比两组治疗前后PCO_2、PO_2、HR、CO数据,并统计两组治疗总有效率。结果研究组较对照组总有效率更高,差异有统计学意义(P <0.05);研究组治疗后PCO_2、PO_2、HR、CO数据优于对照组,差异有统计学意义(P <0.05)。结论急诊无创正压通气治疗后,改善了患者早期症状,血气分析指标及心输出量等数据理想,疗效确切。
引文
[1]刘鋆.急诊无创正压通气辅助治疗急性左心衰临床观察[J].中国冶金工业医学杂志, 2016, 33(5):572-573.
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[5]李昌龙,胡小芬,胡双妹,等.急诊无创正压通气对急性呼吸衰竭的治疗效果观察[J].基层医学论坛, 2017, 21(2):180-181.
[6] Valiollah AM, Mahmood M, Behzad H, et al. Efficiency and outcome of non-invasive versus invasive positive pressure ventilation therapy in respiratory failure due to chronic obstructive pulmonary disease[J]. Casp J Int Med, 2016, 7(2):99-104.
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[2]李敏,陈攀.无创正压通气在成人急性心力衰竭患者治疗中的应用效果[J].现代医药卫生, 2016, 32(24):3834-3836.
[3] Tomii K, Seo R, Tachikawa R, et al. Impact of noninvasive ventilation(NIV)trial for various types of acute respiratory failu1re in the emergency department; decreased mortality and use of the ICU[J].Respir Med, 2009, 103(1):67
[4]孟浩,赵武强,苗云凤,等.无创正压通气技术治疗急性左心衰竭的疗效分析[J].内科急危重症杂志, 2017, 23(5):396-397.
[5]李昌龙,胡小芬,胡双妹,等.急诊无创正压通气对急性呼吸衰竭的治疗效果观察[J].基层医学论坛, 2017, 21(2):180-181.
[6] Valiollah AM, Mahmood M, Behzad H, et al. Efficiency and outcome of non-invasive versus invasive positive pressure ventilation therapy in respiratory failure due to chronic obstructive pulmonary disease[J]. Casp J Int Med, 2016, 7(2):99-104.
[7] Sehgal IS, Dhooria S, Agarwal R, et al. Noninvasive ventilation in acute respiratory distress syndrome:A long way ahead[J]. Indian J Crit Care Med, 2016, 20(2):129-130.