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目的评价无创正压通气治疗急性心源性肺水肿患者的疗效。方法对我院收治的急性心源性肺水肿随机分为两组,常规对照组在常规治疗机上给予鼻导管给氧治疗,无创正压通气治疗组在传统常规治疗同时加用伟康Esprit呼吸机经鼻(面)罩治疗。结果无创正压通气治疗组通气治疗后,患者临床症状明显改善,治疗前后呼吸频率、心率、血压以及动脉血气分析等参数比较差异有统计学意义(P<0·05),有效率为90%。结论无创正压通气治疗急性心源性肺水肿能迅速纠正缺氧、改善心功能。可作为抢救急性心源性肺水肿的一种安全、有效的方法。
Objective To evaluate the efficacy of noninvasive positive pressure ventilation in patients with acute cardiogenic pulmonary edema. Methods Acute cardiogenic pulmonary edema admitted to our hospital was randomly divided into two groups. The conventional control group was given nasal catheter oxygenation on conventional therapy machine. Non-invasive positive pressure ventilation group was treated with conventional Esprit ventilator Nasal (face) mask treatment. Results The results showed that the clinical symptoms of patients in noninvasive positive pressure ventilation group were significantly improved after treatment with ventilation, respiratory rate, heart rate, blood pressure and arterial blood gas analysis before and after treatment were significantly different (P0.05), the effective rate was 90% . Conclusion Noninvasive positive pressure ventilation for acute cardiogenic pulmonary edema can quickly correct hypoxia and improve cardiac function. It can be used as a safe and effective method to rescue acute cardiogenic pulmonary edema.