论文部分内容阅读
目的探讨采用无创呼吸机辅助通气联合吗啡治疗急性左心衰竭的临床效果。方法 90例急性左心衰竭患者,按照治疗方法不同将其分为观察组和对照组,各45例。其中对照组仅采用无创呼吸机进行辅助通气治疗,观察组在此基础上联合吗啡进行治疗,对比两组患者的临床效果。结果治疗1 h后观察组的心率(HR)、呼吸频率(RR)、血气参数[动脉血二氧化碳分压(Pa CO2)、动脉血氧分压(Pa O2)]及左室射血分数(LVEF)均明显优于对照组,差异具有统计学意义(P<0.05)。结论采用无创呼吸机辅助通气联合吗啡对急性左心衰竭患者进行治疗,效果显著,安全可靠,建议在临床上进一步推广。
Objective To investigate the clinical effect of noninvasive ventilator-assisted ventilation combined with morphine in the treatment of acute left heart failure. Methods 90 cases of acute left heart failure patients were divided into observation group and control group according to the different treatment methods, 45 cases in each group. In the control group, noninvasive ventilator was used for adjuvant ventilation only. On the basis of this, the observation group was treated with morphine, and the clinical effect was compared between the two groups. Results After 1 hour of treatment, heart rate (HR), respiratory rate (RR), blood gas parameters (PaCO 2, PaO 2) and left ventricular ejection fraction (LVEF ) Were significantly better than the control group, the difference was statistically significant (P <0.05). Conclusion Noninvasive ventilator-assisted ventilation combined with morphine for the treatment of patients with acute left heart failure, the effect is significant, safe and reliable, it is recommended to further promote the clinical.