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目的:研究急救左心衰病患在120院前急救中应用无创正压机械通气所取得的临床效果,希望能为急救左心衰的临床治疗提供帮助。方法:将2015年06月26日—2017年07月11日期间我院120急救中心展开抢救的77例急性左心衰病患作为本次研究对象,按照抢救时间进行分组,其中将37例接受鼻导管吸氧治疗的病患纳入参照组,而纳入治疗组的40例病患在参照组的基础之上加无创正压机械通气进行治疗,对比并且分析病患临床效果。结果:参照组有效率为81.08%,治疗组有效率为97.5%,梳理后数据存在差距,(P<0.05)。治疗后,治疗组PaO_2、SaO_2、PaO_2/FiO_2指标明显优于参照组,梳理后数据存在差异,(P<0.05)。结论:在120院前急救中急性左心衰病患通过无创正压机械通气进行治疗,抢救治疗效果十分明显,值得推广。
Objective: To study the clinical effect of noninvasive positive pressure mechanical ventilation in 120 first-aid emergency care for patients with first-aid left heart failure, hoping to help the clinical treatment of first-aid left heart failure. Methods: From June 26, 2015 to July 11, 2017, 77 acute left heart failure patients who were rescued in 120 emergency center of our hospital were enrolled in this study. Patients were divided according to the time of rescue. Of the 37 patients Nasal catheter oxygen therapy patients into the reference group, and included in the treatment group of 40 patients on the basis of the reference group plus noninvasive positive pressure mechanical ventilation for treatment, contrast and analysis of the patient’s clinical effect. Results: The effective rate of the reference group was 81.08%, the effective rate of the treatment group was 97.5%, there was a gap between the data after carding (P <0.05). After treatment, the indexes of PaO_2, SaO_2, PaO_2 / FiO_2 in the treatment group were significantly better than those in the reference group, and there was a difference in the data after carding (P <0.05). CONCLUSION: The treatment of acute left heart failure in 120 pre-hospital emergency patients by noninvasive positive pressure mechanical ventilation has the obvious effect of salvage therapy and is worthy of popularization.