無(wú)創(chuàng)正壓通氣治療急性左心功能不全肺水腫的效果

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【摘要】目的：研究無(wú)創(chuàng)正壓通氣對(duì)急性左心功能不全肺水腫實(shí)施治療的效果。方法：將2021年5月—2022年11月來(lái)我院治療的60例急性左心功能不全肺水腫患者根據(jù)隨機(jī)數(shù)字編號(hào)方法分為觀察組（32例）和對(duì)照組（28例）。對(duì)照組實(shí)施常規(guī)治療，觀察組實(shí)施無(wú)創(chuàng)正壓通氣治療，對(duì)比兩組臨床療效。結(jié)果：①觀察組28例（87.50%）的臨床療效明顯高于對(duì)照組22例（78.57%），差異有統(tǒng)計(jì)學(xué)意義（P0.05），治療后，觀察組的肺功能改善比對(duì)照組更好，差異有統(tǒng)計(jì)學(xué)意義（P

【關(guān)鍵詞】無(wú)創(chuàng)正壓通氣；急性；左心功能不全；肺水腫；肺功能

Effect of noninvasive positive pressure ventilation on acute left ventricular insufficiency pulmonary edema

ZHANG Wentong

Department of Internal Medicine， Beijing Huimin Hospital， Beijing 100054， China

【Abstract】Objective：To study the effect of noninvasive positive pressure ventilation （NIPPV） on pulmonary edema （PE） in patients with acute left ventricular dysfunction. Methods：60 patients with pulmonary edema due to acute left heart failure from May 2021 to November 2022 were divided into observation group （n=32） and control group （n=28） according to the method of random number.The control group was treated with conventional therapy， and the observation group was treated with noninvasive positive pressure ventilation.The clinical effects of the two groups were compared. Results：①The clinical efficacy of the observation group [28 cases （87.50%）] was significantly higher than that of the control group [22 cases （78.57%）]，the difference was statistically significant（P0.05），after treatment，the improvement of pulmonary function in the observation group was better than that in the control group，and the difference was statistically significant（P

【Key Words】Noninvasive positive pressure ventilation； Acute； Left ventricular insufficiency； Pulmonary edema； Pulmonary function

在臨床上急性左心功能不全的多發(fā)人群為慢性心力衰竭的患者，由于疾病的影響使患者因?yàn)樽笮墓δ懿蝗鴮?dǎo)致肺循環(huán)淤血發(fā)生，進(jìn)而使患者形成肺水腫，病癥很容易使患者出現(xiàn)低氧血癥，導(dǎo)致病情形成惡性循環(huán)[1]。（剩余3375字）