急性左心衰无创呼吸机辅助通气临床效果与护理体会.docVIP

精品论文 参考文献 急性左心衰无创呼吸机辅助通气临床效果与护理体会 姜春云 　　[摘 要]目的 探讨无创呼吸机辅助通气在急性左心衰患者中应用效果及护理体会。 方法 将我院55例急性左心衰BiPAP呼吸机辅助通气治疗患者为观察组，并以同期高压氧吸入患者55例为对照，比较其临床疗效并探讨合理护理方式。 结果 观察组有效率76.36%，对照组有效率63.63%，两组有效率差异有统计学意义（Ridit z=21.368，P=0.000），观察组疗效优于对照；观察组呼吸、心率、血压、TEI指数和LVEF各方面均低于对照组，差异有统计学意义（Plt;0.05），PaO2高于对照，差异有统计学意义（Plt;0.05），PaCO2两组差异无统计学意义（Pgt;0.05）。 结论 对急性左心衰患者采用无创呼吸机辅助通气治疗，可以提高患者临床疗效，但应注意加强护理，减少并发症。 　　[关键词]急性左心衰 呼吸机 辅助通气 护理 　　DOI:10.3760/cma.j.issn.1672-7088.2014.21.60 　　作者单位：311700，浙江淳安，淳安县第一人民医院ICU 　　[作者简介]姜春云（1969—），女，浙江淳安，汉，护理本科，主管护师，研究方向：ICU护理。 　　Clinical effect and nursing experience of acute left heart failure noninvasive ventilator assisted ventilation 　　Jiang Chunyun 　　Abstract： Objective To explore clinical effect and nursing experience of the noninvasive ventilator assisted ventilation for the patients with acute left heart failure. Methods Treat 55 patients with acute left heart failure treated with BiPAP ventilator assisted ventilation as observation group, and with the same period of 55 patients with hyperbaric oxygen inhalation as contrast, compare the clinical curative effect and reasonable nursing mode. Results Observation group effectiveness was76.36%, control group was 63.63%, efficient was statistically significant (Ridit z = 21.368, P = 0.000), the observation group curative effect is superior to the control; Breathing, heart rate, blood pressure, TEI index and LVEF of observation group were lower than the control group, the difference was statistically significant (P lt; 0.05), and PaO2 was higher than the control, the difference was statistically significant (P lt; 0.05), PaCO2 differences between the two groups was not statistically significant(Pgt;0.05). Conclusion noninvasive ventilator assisted ventilation for patients with acute left heart failure, can improve the clinical curative effect, but should pay attention to the reasonable care to prevent correlation complications. 　　 key words： acute left heart failure; Breathing machine; Assist