BiPAP 无创呼吸机治疗急性心源性肺水肿临床效果观察

摘要

Objective To analyze the clinical effect of BiPAP noninvasive ventilator on acute cardiac pulmonary edema. Methods Thirty patients with acute cardiac pulmonary edema in our hospital were randomly divided into 2 groups,1 5 in either group. Patients in the control group were treated with conventional ways,while those in the observation group were given BiPAP noninvasive ventilator treatment.Clinical efficacy,heart rate,breathing rate,arterial blood oxygen partial pressure,mean arterial pressure and time to dyspnea relief were compared between two groups.Results The clinical effect in the observation group was better than the control group(P <0.05)Heart rate,breathing rate,arterial blood oxygen partial pressure and mean arterial pressure in the observation group were all lower than those in the control group(P <0.01 ),while the arterial blood oxygen partial pressure in the observation group was higher(P <0.01 )and time to dyspnea relief in the observation group was shorter(P <0.01 ).Conclusion BiPAP noninva-sive ventilator is effective in treating acute cardiac pulmonary edema,can significantly improve patients’arterial blood oxygen partial pressure and mean arterial pressure level and shorten the easing time to dyspnea relief and can be in wide clinical use.%目的：探讨 BiPAP 无创呼吸机治疗急性心源性肺水肿的临床效果。方法将30例急性心源性肺水肿患者随机分为两组，各15例。对照组采用常规治疗，观察组在对照组治疗基础上给予 BiPAP 无创呼吸机治疗，比较两组患者临床疗效、心率、呼吸频率、动脉血氧分压、平均动脉压以及呼吸困难缓解时间。结果观察组临床疗效优于对照组（P ＜0．05）；治疗后观察组心率、呼吸频率和平均动脉压均低于对照组（P ＜0．01），动脉血氧分压高于对照组（P ＜0．01）；观察组患者呼吸困难缓解时间短于对照组（P ＜0．01）。结论 BiPAP 无创呼吸机治疗急性心源性肺水肿效果显著，可改善患者动脉血氧分压和平均动脉压水平，缩短呼吸困难缓解时间，值得临床推广应用。