首页|BiPAP无创呼吸机配合布地奈德在CPHD患者中的应用分析

BiPAP无创呼吸机配合布地奈德在CPHD患者中的应用分析

Analysis of BiPAP noninvasive ventilator with budesonide in patients with CPHD

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目的:探讨BiPAP无创呼吸机配合常规治疗对慢性肺源性心脏病(CPHD)患者血清氨基末端B型脑钠肽前体(NT-proBNP)、肺功能及血气分析指标的影响.方法:选择 2020年1月—2022年12月本院 60例CPHD患者,随机数字表法分为对照组(30 例)和观察组(30 例),对照组实施常规治疗,观察组在对照组基础上采用BiPAP无创呼吸机配合治疗.治疗前、治疗 7d后测定两组血清NT-proBNP水平、肺功能指标[一秒用力呼气容积(FEV1)、用力肺活量(FVC)、并比较两者比值即FEV1/FVC]、血气分析指标[动脉二氧化碳分压(PaCO2)、动脉氧分压(PaO2)和pH]并比较.结果:治疗前两组NT-proBNP、FVC、FEV1、FEV1/FVC、PaCO2、PaO2 和pH比较,差异无统计学意义(P>0.05);治疗 7d后,两组血清NT-proBNP水平和PaCO2 均降低,且观察组低于对照组(P<0.05);两组FVC、FEV1、FEV1/FVC、PaO2 和pH均升高,且观察组高于对照组,差异有统计学意义(P<0.05).结论:BiPAP无创呼吸机配合常规治疗对CPHD患者的NT-proBNP水平、肺功能和血气分析指标具有显著的改善作用.
Objective:To explore the effects of BiPAP noninvasive ventilator combined with routine treatment on serum N-terminal B-type brain natriuretic peptide precursor(NT proBNP),lung function,and blood gas analysis indicators in patients with chronic pulmonary heart disease(CPHD).Methods:Sixty patients with CPHD from the Third Hospital of Pingx-iang City from January 2020 to December 2022 were selected and randomly divided into a control group(30 cases)and an observation group(30 cases)using a number table method.The control group received routine treatment,while the observa-tion group received BiPAP noninvasive ventilation combined with treatment.Before and seven days after treatment,serum NT proBNP levels,lung function indicators(forced expiratory volume in one second(FEV1),forced vital capacity(FVC),and their ratio(FEV1/FVC),blood gas analysis indicators(arterial partial pressure of carbon dioxide(PaCO2),arterial partial pressure of oxygen(PaO2),and pH)were measured and compared between the two groups.Before treatment,there was no statistically significant difference in the NT-proBNP,FVC,FEV1,FEV1/FVC,PaCO2,PaO2,and pH levels between the two groups(P>0.05).After seven days of treatment,the serum levels of NT-proBNP and PaCO2 in both groups decreased,and the observation group was lower than the control group.FVC,FEV1,FEV1/FVC,PaO2,and pH in both groups increased,and the observation group was higher than the control group,with a statistically significant difference(P<0.05).Conclusions:Bi-PAP noninvasive ventilator combined with routine treatment significantly improves the NT proBNP levels,lung function,and blood gas analysis indicators in patients with CPHD.

chronic pulmonary heart diseaseBiPAP noninvasive ventilatorserum amino terminal B-type brain natri-uretic peptide precursorlung functionblood gas analysis indicators

叶建文、魏尤良、黄芩、李鹰

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萍乡市第三人民医院,江西 337000

慢性肺源性心脏病 BiPAP无创呼吸机 血清氨基末端B型脑钠肽前体 肺功能 血气分析指标

2024

天津药学
天津市医药集团有限公司 天津市药学会

天津药学

影响因子:0.794
ISSN:1006-5687
年,卷(期):2024.36(1)
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