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目的分析高龄急性左心衰患者抢救中气管插管正压通气的应用效果。方法随机选择2014年1月~2016年1月在本院接受治疗的高龄患者急性左心衰患者76例参与研究,随机平均分成2组,对照组利用面罩加压给氧进行急救治疗,观察组选择气管插管正压通气进行急救治疗,比较两组效果。结果观察组治疗有效率为81.58%,对照组治疗有效率57.89%,观察组死亡率为5.26%,对照组死亡率13.16%(P<0.05)。观察组治疗后心率、平均动脉压、二氧化碳分压低于对照组,动脉血氧分压、血氧饱和度高于对照组(P<0.05)。结论在高龄急性左心衰患者抢救中,气管插管正压通气的应用效果明显,能够降低死亡率,值得推广。
Objective To analyze the effect of tracheal intubation positive pressure ventilation in the rescue of elderly patients with acute left heart failure. Methods A total of 76 patients with acute left heart failure admitted to our hospital from January 2014 to January 2016 were randomly divided into two groups randomly. The control group was treated with oxygen and oxygen for emergency treatment. The observation group Select tracheal intubation positive pressure ventilation emergency treatment, the two groups were compared. Results The effective rate was 81.58% in the observation group, 57.89% in the control group, 5.26% in the observation group and 13.16% in the control group (P <0.05). The heart rate, mean arterial pressure and carbon dioxide partial pressure were lower in the observation group than those in the control group. The arterial partial pressure of oxygen and oxygen saturation were higher in the observation group than those in the control group (P <0.05). Conclusions In the rescue of elderly patients with acute left heart failure, tracheal intubation positive pressure ventilation effect is obvious, can reduce mortality, it is worth promoting.