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目的探讨应用BIPAP呼吸机辅助通气治疗急性左心衰竭的临床疗效。方法将60例急性左心衰竭患者随机分为治疗组和对照组各30例。2组患者均给予强心、利尿、扩血管等常规治疗,对照组给予鼻导管乙醇湿化给氧,治疗组给予经面罩BIPAP呼吸机辅助通气治疗。治疗后比较2组临床疗效。结果治疗后治疗组的总有效率为96.7%高于对照组的66.7%,差异有统计学意义(P<0.05)。结论急性左心衰竭运用BIPAP呼吸机辅助通气治疗能及时有效改善患者临床症状,改善低氧血症,是抢救急性左心衰竭的重要手段之一。
Objective To investigate the clinical efficacy of BIPAP ventilator assisted ventilation in the treatment of acute left heart failure. Methods Sixty patients with acute left heart failure were randomly divided into treatment group and control group, 30 cases each. Patients in both groups were given conventional therapy such as cardiotomy, diuretic and vasodilator. In the control group, nasogastric catheterization was used to humidify and oxygenate the patients. The treatment group was given BIPAP ventilator assisted ventilation. After treatment, the clinical efficacy of two groups were compared. Results After treatment, the total effective rate of the treatment group was 96.7% higher than that of the control group (66.7%), the difference was statistically significant (P <0.05). Conclusion Acute left heart failure using BIPAP ventilator-assisted ventilation can effectively improve clinical symptoms and improve hypoxemia in patients. It is one of the important measures to rescue acute left heart failure.