摘要
目的分析无创正压通气用于治疗心肌梗死合并肺水肿的临床疗效。方法选取70例急性心肌梗死合并肺水肿的患者，随机分成两组，对照组35例使用普通面罩吸氧等常规治疗；观察组35例在常规治疗基础上进行双向正压通气治疗。观察患者的心率、血压、呼吸频率、血清BNP以及动脉血气指标的变化。结果观察组进行正压通气治疗2h和24h后呼吸频率、PaO2改善情况均好于对照组，差异具有统计学意义（P〈0．05）；治疗72h后，治疗组的血清BNP水平明显低于对照组（P〈0．01）。结论无创正压通气能够有效改善急性心肌梗死患者的肺水肿，具有较好的疗效，适合推广应用。
Objective To analyze the clinical efficacy of noninvasive positive pressure ventilation （NIPPV） for treatment of acute myocardial infarction （AMI） with pulmonary edema. Methods 70 patients with AMI combined with pulmonary edema, were selected and randomly divided into two groups, the control group with 35 patients used ordinary oxygen mask conventional treatment; observation group with 35 patients was given conventional treatment on the basis of a two-way positive airway pressure therapy. Then we observed the patients＇ heart rate, blood pressure, respiratory rate, serum BNP and arterial blood gas index changes. Result The observation group was positive airway pressure therapy 2 h and 24 h, respiratory rate, PaO2 improving situation better than that of the control group, the difference was statistically significant （P 〈0.05）; 72 h after treatment, the observation group, serum BNP levels were significantly lower than those of the control group （P〈0.01）. Conclusion NIPPV can be effective in improving pulmonary edema in patients with AMI, with good effect, which is suitable for promotion and application.
出处
《国际医药卫生导报》
2013年第8期1137-1139,共3页
International Medicine and Health Guidance News
关键词
无创正压通气
急性心肌梗死
肺水肿
Noninvasive positive pressure ventilation （NIPPV）
Acute myocardial infarction （AMI）
Puhnonary edema
