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- Title
无创正压通气序贯治疗急性左心衰合并呼吸衰竭患者的时机选择.
- Authors
林泽辉; 杜永明; 陈国宁; 李泉; 郑智超
- Abstract
Objective: To explore the opportunity of noninvasive positive pressure ventilation sequential treatment for patients with acute left heart failure combined with respiratory failure. Methods: Selected 120 cases of patients with acute left heart failure complicated with respiratory failure in our hospital from June 2013 to August 2015 as the objects, after the illness were controled, all patients were divided into three groups of A, B, C groups and with 40 patients in each group according to the time of pulled out the pipe, the pipe of A group was pulled out 30 min after spontaneous breathing, B group was after 2 h, while C group was after 24 h, and all patients were treated with noninvasive positive pressure ventilation sequential, the blood gas analysis, the occurrence of ventilator associated pneumonia and the success rate of off-line in the 3 groups were compared. Results: ➀Respiratory rate, heart rate, oxygen index, oxygen pressure, oxygen partial pressure, carbon dioxide pressure and pH value in the 3 groups of patients were not significantly different (t1=1.402, t2=1. 338, t3=0.738, t4=1.201, t5=0.969, t6=0.857 P>0.0); ➁Offline success rate of the A group was 7.50%, which was significantly lower than 77.50%of the B group and 82.50%of the C group, the differences were statistically significant (P< 0.05). The reintubation rate of the A group was 92.50%, which was significantly higher than 22.50%of the B group and 17.50% of the C group, the differences were statistically significant(P<0.05). The ventilator associated pneumonia incidence of the A group was 45.00%, which was significantly higher than 12.50%of the B group and 10.00%of the C group, the differences were statistically significant(P<0.05). Conclusions: Using non-invasive positive pressure ventilation sequential treatment for patients with acute left heart failure combined with respiratory failure after extubation of more than 2 h is able to significantly improve the success rate of weaning, reduce the reintubation rate, and the incidence of ventilator associated pneumonia, which is worthy of clinical promotion.
- Publication
Progress in Modern Biomedicine, 2016, Vol 16, Issue 25, p4919
- ISSN
1673-6273
- Publication type
Article
- DOI
10.13241/j.cnki.pmb.2016.25.032