Therapeutic effect of noninvasive positive pressure ventilation on aged patients with acute left heart fail-ure
10.3969/j.issn.1008-0074.2015.06.21
- VernacularTitle:老年急性左心衰患者的无创正压通气的疗效
- Author:
Xinsun LIU
;
Xiehui CHEN
- Publication Type:Journal Article
- Keywords:
Heart failure;
Continuous positive airway pressure;
Aged
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2015;24(6):656-658,659
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe and analyze therapeutic effect of noninvasive positive pressure ventilation (NPPV) on aged patients with acute left heart failure in our hospital . Methods:A total of 128 aged patients with acute left heart failure were randomly divided into routine treatment group (n=65 ,received routine emergency drug therapy ) and NPPV group (n=63 ,received NPPV treatment based on routine treatment ) .Clinical symptoms and signs were observed and recorded in two groups ,including partial pressure of oxygen in artery (PaO2 ) ,blood pressure (BP) ,respiratory rate (RR) and heart rate (HR) .According to ECG results and combined with clinical symptoms and signs ,therapeutic effects were comprehen‐sively evaluated and compared between two groups . Results:Compared with routine treatment group ,there was significant rise in PaO2 [ (92.5 ± 7.3) mmHg vs . (106.1 ± 4.8) mmHg] ,significant reductions in BP [systolic blood pressure/dias‐tolic blood pressure ,(142.1 ± 9.2) / (97.2 ± 4.2) mmHg vs . (128.2 ± 4.1) / (89.2 ± 8.1) mmHg] ,, RR [ (27.3 ± 2.8) times/min vs . (16.3 ± 3.3) times/min] and HR [ (113.3 ± 9.3) beats/min vs . (94.2 ± 8.6) beats/min] in NPPV group ,P<0.05 all .Total effective rate of NPPV group was significantly higher than that of routine treatment group (98 . 4% vs .75 . 4% ) , P=0. 009 . Conclusion:Noninvasive positive pressure ventilation can rapidly raise PaO 2 ,relieve symp‐tom in patients with acute left heart failure ,and it is worth extending .
