Analysis of the Effectiveness of Emergency Treatment for Elderly Chronic Obstructive Pulmonary Disease With Heart Failure
Objective To investigate the emergency treatment effect of chronic obstructive pulmonary disease complicated with heart failure in the elderly.Methods A total of 70 patients(≥60 years old)with chronic obstructive pulmonary disease and heart failure admitted to department of emergency,the Second Affiliated Hospital of Xiamen Medical College from January 2021 to April 2023 were randomly divided into a non-invasive ventilation group(35 cases)and an oxygen inhalation group(35 cases).Both groups of patients were immediately given first aid,while the oxygen inhalation group was immediately treated with mask oxygen therapy,while the non-invasive ventilation group was treated with non-invasive ventilator.The efficacy and prognosis of the two groups were compared.Results After treatment,the blood gas index and heart rate in the non-invasive ventilation group were better than those in the oxygen inhalation group,the left ventricular ejection fraction(LVEF)in non-invasive ventilation group was(52.16±7.24)%,which was higher than that in oxygen inhalation group(48.25±6.38)%(P<0.05).After treatment,the amino terminal B-type brain natriuretic peptide precursor(NT-proBNP)(1 682.36±308.74)ng/L in the non-invasive ventilation group was lower than that in the oxygen inhalation group(2 056.71±294.63)ng/L(P<0.05),and the creatine kinase isoenzyme MB(CK-MB)and troponin I(cTNI)were lower than those in the oxygen inhalation group(P<0.05).The levels of inflammatory indicators such as C-reactive protein(CRP),D-dimer(D-D),procalcitonin(PCT)and homocysteine(PCT)in the non-invasive ventilation group were lower than those in the oxygen inhalation group after treatment(P<0.05).Conclusion On the basis of routine treatment for elderly patients with chronic obstructive pulmonary disease complicated with heart failure,timely implementation of non-invasive ventilator respiratory support can effectively improve the blood gas analysis index of patients,promote the recovery of heart function,and help improve the prognosis of patients.
agednesschronic obstructive pulmonary diseaseheart failurecomplicationsfirst aid effectivenessrespiratory support
万方数据
维普
