无创呼吸机在急性心力衰竭合并呼吸衰竭患者中的应用

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国家科技期刊平台
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中文摘要：目的:探讨无创呼吸机在急性心力衰竭合并呼吸衰竭患者中的应用。方法:选取 2022 年 1 月—2023 年 12 月福建医科大学附属闽东医院收治的80例急性心力衰竭合并呼吸衰竭患者。将2022年1月—2023年6月收治的40例患者纳入对照组，将2022年7 月—2023 年 12 月收治的 40例患者纳入观察组。两组均给予常规治疗措施，对照组给予鼻导管吸氧，观察组给予无创呼吸机治疗。比较两组治疗前后心率及血气指标、心功能指标及并发症。结果:治疗后，两组心率、动脉血二氧化碳分压(PaCO2)均降低，动脉血氧分压(PaO2)和血氧饱和度(SaO2)均升高，观察组心率、PaCO2 均低于对照组，PaO2、SaO2 均高于对照组，差异有统计学意义(P＜0。05)。治疗后，两组左心室收缩末期内径(LVESD)、左心室舒张末期内径(LVEDD)均降低，心脏指数(CI)、左室射血分数(LVEF)均升高，观察组LVESD、LVEDD均低于对照组，CI、LVEF均高于对照组，差异有统计学意义(P＜0。05)。观察组并发症发生率低于对照组，差异有统计学意义(P＜0。05)。结论:无创呼吸应用于急性心力衰竭合并呼吸衰竭可匹配患者用氧需求，改善生命体征及血气指标，可获得较为理想的治疗效果，同时还能进一步推动心功能的恢复，减少并发症的发生。

外文标题：Application of Noninvasive Ventilator in Patients with Acute Heart Failure Complicated with Respiratory Failure

外文摘要：Objective:To observe the application of noninvasive ventilator in patients with acute heart failure complicated with respiratory failure.Method:A total of 80 patients with acute heart failure combined with respiratory failure admitted to Mindong Hospital Affiliated to Fujian Medical University from January 2022 to December 2023 were selected.Totally 40 patients admitted from January 2022 to June 2023 were included in the control group,and 40 patients admitted from July 2022 to December 2023 were included in the observation group.Both groups were given conventional treatment measures,the control group receiving nasal cannula oxygen inhalation and the observation group receiving non-invasive ventilator treatment.The heart rate,blood gas indicators,cardiac function indicators before and after treatment,and complications between two groups were compared.Result:After treatment,both groups showed a decrease in heart rate and arterial partial pressure of carbon dioxide(PaCO2),while arterial partial pressure of oxygen(PaO2)and oxygen saturation(SaO2)increased,the heart rate and PaCO2 in the observation group were lower than those in the control group,while PaO2 and SaO2 were higher than those in the control group,the differences were statistically significant(P＜0.05).After treatment,the left ventricular end systolic diameter(LVESD)and left ventricular end diastolic diameter(LVEDD)decreased in both groups,while the cardiac index(CI)and left ventricular ejection fraction(LVEF)increased,the LVESD and LVEDD in the observation group were lower than those in the control group,while the CI and LVEF were higher than those in the control group,the differences were statistically significant(P＜0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P＜0.05).Conclusion:In patients with acute heart failure complicated with respiratory failure,non-invasive ventilator treatment can achieve ideal therapeutic effect in stabilizing heart rate and improving blood gas index,and can further promote the recovery of heart function and reduce the occurrence of complications.

外文关键词：

Acute heart failureRespiratory failureNon-invasive ventilatorBlood gas indexCardiac function

作者：

林斌、罗海萍、林少菊

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作者单位：

福建医科大学附属闽东医院(宁德市闽东医院)福建福安 355000

关键词：

急性心力衰竭呼吸衰竭无创呼吸机血气指标心功能

出版年：

2024

DOI：