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目的对无创呼吸机早期治疗以及延迟治疗在急性左心衰竭合并Ⅱ型呼吸衰竭早期治疗中的临床价值予以分析和讨论。方法选取2014年10月-2015年10月医院收治的急性左心衰竭合并Ⅱ型呼吸衰竭患者102例,根据102例患者无创呼吸机治疗时间,将其分为观察组和对照组各51例,观察组实施无创呼吸机早期治疗,对照组实施无创呼吸机延迟治疗。对比2组患者治疗后临床症状以及病情进展情况。结果与对照组患者相比,观察组患者经治疗,患者呼吸次数、潮气量、心率、平均动脉压、Pa O2及其它临床症状有明显改善,且观察组患者住院时间缩短、病情好转时间缩短、病情好转率较高、气管插管率降低,2组对比差异明显,具有统计学意义(P<0.05)。结论急性左心衰竭合并Ⅱ型呼吸衰竭患者给予早期治疗治疗效果显著,可以有效的提高患者病情好转率,缩短患者病程,有极为重要的临床意义,值得大力推广和应用。
Objective To analyze and discuss the clinical value of early treatment of non-invasive ventilator and delayed treatment in the treatment of acute left heart failure with type Ⅱ respiratory failure. Methods From October 2014 to October 2015, 102 patients with acute left ventricular failure and type Ⅱ respiratory failure admitted to our hospital were divided into observation group (51 cases) and control group (102 cases) according to the treatment time of noninvasive ventilator (102 cases) The observation group was treated with non-invasive ventilator early treatment, and the control group with non-invasive ventilator delayed treatment. The clinical symptoms and progression of the patients in two groups were compared. Results Compared with the control group, the patients in the observation group showed significant improvement in the number of respiration, tidal volume, heart rate, mean arterial pressure, Pa O2 and other clinical symptoms. The observation group had shorter hospital stay, shorter duration of improvement, The rate of improvement was higher and the rate of tracheal intubation was lower. There was significant difference between the two groups (P <0.05). Conclusion Early treatment of patients with acute left heart failure complicated with type Ⅱ respiratory failure has significant therapeutic effect, which can effectively improve the rate of improvement of patients’ condition and shorten the course of patients. It is of great clinical significance and worthy of promotion and application.