摘要
目的:探讨老年人发生急性左心衰时在用抗心衰药物的同时,配合应用无创正压通气对老年人急性左心衰的临床意义。方法:61例急性左心衰的老年患者,分为观察组和对照组两组,两组均给予吸氧、强心、利尿、扩血管,改善支气管痉挛及酸碱平衡调节等常规治疗,但观察组联合运用无创正压通气治疗,分别测定动脉血pH、PaO2、PaCO2、SaO2,观察血压、心率、呼吸及临床症状,并进行比较。结果:治疗后观察组心率、呼吸频率、血压、PaCO2、PaO2、SaO2较治疗前及对照组治疗后明显改善(P<0.01)。结论:在抗心衰药物治疗的同时,短期使用无创正压通气,对改善心功能,减少心肌耗氧量,缩短急性左心衰病程,促进康复,有很大的价值。
Objective：To analyze the clinical effects of non-invasive positive pressure ventilation for the acute left heart failure based on standard pharmacological therapy.Methods：A total of 61 elderly patients with acute left heart failure were randomly divided into two groups.31 patients in control group were treated by routine therapy such as oxygen intake,cardiac stimulant,diuretic agents,angiectasis,regulating acid-base balance;bronchial spasm treatment,while 30 patients in treatment group were treated by non-invasive ventilation plus standard pharmacological therapy.Arterial partial pressure,pH,PaO2、PaCO2、SaO2,blood pressure,heart rate,breath and symptoms were observed and compared between the two groups.Results：After treatment,the treatment group showed significant improvements in heart rate,respiration rate,SaO2 and PaO2 than the control group（P0.01）.Conclusions：Based on routine therapy,non-invasive positive pressure ventilation can effectively improve heart function,reduce myocardial oxygen consumption and promote recovery for elderly patients with acute left heart failure.
出处
《海南医学院学报》
CAS
2011年第3期355-357,共3页
Journal of Hainan Medical University
基金
海南医学院科研基金资助学报项目(0020110076)~~
关键词
急性左心衰
无创正压通气
老年人
Acute left heart failure
Elderly
Non-invasive positive pressure ventilation
作者简介
[作者简介]肖毅（1963-），女，湖南人，副主任医师，学士，电话：（010）88689102，13611211602，电子信箱：lindaxiaoyi@yahoo．com．cn。
