2018分析无创呼吸机早期治疗与延迟治疗急性左心衰竭合并Ⅰ型呼吸衰竭
【摘要】 目的 探析无创呼吸机早期治疗与延迟治疗急性左心衰竭合并Ⅰ型呼吸衰竭的临床效果。方法 68例急性左心衰竭合并Ⅰ型呼吸衰竭患者， 以数字随机表达法分为早期治疗组和延迟治疗组， 各34例。早期治疗组接受无创呼吸机早期治疗， 延迟治疗组接受无创呼吸机延迟治疗， 对两组患者的各项生命体征指标、住院时间及病情好转情况、气管插管情况进行比较。结果 治疗前， 两组患者的各项生命体征指标（心率、呼吸频率、动脉血氧分压、平均动脉压、二氧化碳分压）比较差异无统计学意义（P>0.05）；治疗后3 h， 早期治疗组患者生命体征指标（心率、呼吸频率、动脉血氧分压、平均动脉压、二氧化碳分压）均明显优于延迟治疗组， 差异有统计学意义（P http://【关键词】 无创呼吸机早期治疗；延迟治疗；急性左心衰竭；Ⅰ型呼吸衰竭
DOI：10.14163/j.cnki.11-5547/r.2017.36.002
Analysis of the effect of early treatment and delayed treatment of noninvasive ventilator on acute left heart failure complicated with type Ⅰ respiratory failure LI Wen-feng， YANG Ke， DENG Xing-chen， et al. Guangdong Maoming Dianbai District People’s Hospital， Maoming 525400， China
【Abstract】 Objective To discuss and analyze the clinical effect of early treatment and delayed treatment of noninvasive ventilator on acute left heart failure complicated with type Ⅰ respiratory failure. Methods A total of 68 patients with acute left heart failure complicated with type Ⅰ respiratory failure were divided by random number method into early treatment group and delayed treatment group， with 34 cases in each group. The early treatment group was treated with early treatment of noninvasive ventilator， and the delayed treatment group was treated with delayed treatment of noninvasive ventilator. Comparison were made on various vital signs， hospitalization time and condition improvement， endotracheal intubation situation between the two groups. Results Before treatment， both groups had no statistically significant difference in various vital signs （heart rate， respiratory rate， arterial partial pressure of oxygen， mean arterial pressure and partial pressure of carbon dioxide） （P>0.05）. After 3 h of treatment， early treatment group had obviously better vital signs （heart rate， respiratory rate， arterial partial pressure of oxygen， mean arterial pressure and partial pressure of carbon dioxide） than delayed treatment group， and their difference was statistically significant （P
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