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目的:探讨无创双水平正压(BiPAP)呼吸机机械通气治疗急性心源性肺水肿的临床疗效。方法:将我院2007—2010年住院治疗的56例急性心源性肺水肿患者分为观察组与对照组,每组28例,两组患者均给予常规治疗。观察组在常规治疗基础上给予BiPAP呼吸机经鼻(面)罩双水平气道正压通气治疗,对照组给予面罩吸氧。结果:治疗后观察组与对照组患者呼吸频率、心率、血压、氧饱和度及动脉血气指标的改善比较有显著差异(P<0.01),观察组优于对照组。观察组与对照组的治疗总有效率分别为92.9%、71.4%。结论:BiPAP无创机械通气治疗急性心源性肺水肿快速有效,减少了气管插管。
Objective: To investigate the clinical efficacy of noninvasive bi-level positive pressure (BiPAP) ventilator mechanical ventilation in the treatment of acute cardiogenic pulmonary edema. Methods: 56 cases of acute cardiogenic pulmonary edema treated in our hospital from 2007 to 2010 were divided into observation group and control group, with 28 cases in each group. Both groups were given routine treatment. The observation group was given BiPAP ventilator nasal (face) mask bi-level positive airway pressure ventilation on the basis of routine treatment, while the control group was given mask oxygen. Results: After treatment, the improvement of respiratory rate, heart rate, blood pressure, oxygen saturation and arterial blood gas index in observation group and control group were significantly different (P <0.01). The observation group was superior to the control group. The total effective rate of observation group and control group were 92.9% and 71.4% respectively. Conclusion: BiPAP noninvasive mechanical ventilation is effective in the treatment of acute cardiogenic pulmonary edema and reduces tracheal intubation.