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目的:对急诊ICU急性心衰合并呼吸衰竭患者应用无创呼吸机进行治疗的临床效果进行评价。方法:研究对象取58例急诊ICU急性心衰合并呼吸衰竭患者,患者均于2014年12月-2016年9月入院治疗。随机性分组,对照组采用常规药物治疗,共29例;实验组同时应用无创呼吸机治疗,共29例。观察两组患者的治疗情况,并记录和分析患者的临床效果。结果:在总有效率方面,实验组为93.1%(27/29),对照组为72.4%(21/29),实验组比对照组高,组间数据差异性明显且统计学意义成立,P<0.05;在并发症方面,实验组比对照组低,组间数据差异性明显且统计学意义成立,P<0.05;在血气血氧指标方面,患者均显著上升或者下降,实验组幅度变化比对照组大,组间数据差异性明显且统计学意义成立,P<0.05。结论:对急性心衰合并呼吸衰竭患者实施无创呼吸机治疗,对患者的血氧、血气指标改善有积极意义,且安全性高,值得推荐。
Objective: To evaluate the clinical effect of noninvasive ventilator in patients with acute heart failure complicated with respiratory failure in emergency ICU. Methods: Fifty-eight patients with acute heart failure complicated with respiratory failure were enrolled in the study. Patients were admitted to hospital from December 2014 to September 2016. Random group, the control group with conventional drug treatment, a total of 29 cases; experimental group also applied noninvasive ventilator treatment, a total of 29 cases. Observe the treatment of two groups of patients, and record and analyze the clinical effect of patients. Results: In the total effective rate, the experimental group was 93.1% (27/29) and the control group was 72.4% (21/29). The experimental group was higher than the control group. The difference between the groups was significant and the statistical significance was established. P <0.05; in the complication, experimental group than the control group, the difference between groups was statistically significant and statistically significant (P <0.05); in the blood gas oxygen index, the patients were significantly increased or decreased, the experimental group amplitude change ratio In the control group, the difference between the groups was significant and the statistical significance was established (P <0.05). Conclusion: Noninvasive ventilator treatment for patients with acute heart failure and respiratory failure has positive effects on the improvement of blood oxygen and blood gas indexes of patients with acute heart failure. It is also highly recommended and safe.