论文部分内容阅读
目的 :探讨双水平气道正压通气治疗急性心源性肺水肿的临床疗效。方法 :本文随机选取2014年10月~2015年10月到我院治疗的急性心源性肺水肿患者120例作为研究对象,并将其随机分成治疗组与对照组各60例,对照组患者实施吸氧、利尿、扩血管及强心等常规化住院治疗,治疗组患者在对照组的基础上给予双水平气道正压通气治疗。对比两组治疗后临床疗效与治疗前后血氧饱和度、p(CO_2)、p(O_2)等血气指标。结果 :治疗组总有效率为100%,明显高于对照组总有效率75%;两组治疗后血氧饱和度、p(CO_2)、p(O_2)等血气指标均比治疗前有所改善,且治疗组改善程度明显优于对照组。结论 :采用双水平气道正压通气治疗急性心源性肺水肿,可以有效提高急性心源性肺水肿患者的治疗效果,值得推广应用。
Objective: To investigate the clinical effect of bi-level positive airway pressure ventilation in the treatment of acute cardiogenic pulmonary edema. Methods: 120 patients with acute cardiogenic pulmonary edema who were treated in our hospital from October 2014 to October 2015 were randomly selected as study subjects and randomly divided into treatment group (60 cases) and control group (60 cases), patients in control group Oxygen, diuretic, vasodilator and cardiac and other routine hospitalization, the treatment group patients in the control group on the basis of bi-level positive airway pressure therapy. The clinical efficacy and the oxygen saturation, p (CO 2), p (O 2) and other blood gas indexes before and after treatment were compared between the two groups. Results: The total effective rate was 100% in the treatment group, which was significantly higher than that in the control group (75%). The blood oxygen saturation, p (CO_2) and p (O_2) , And the treatment group improved significantly better than the control group. Conclusion: Biphasic positive airway pressure ventilation in the treatment of acute cardiogenic pulmonary edema can effectively improve the therapeutic effect of patients with acute cardiogenic pulmonary edema, which is worth popularizing and applying.