摘要
目的分析老年肺部感染并心力衰竭行无创呼吸机辅助治疗的有效性及安全性。方法选取2015年9月至2017年9月北京市海淀医院收治的58例肺部感染并心衰患者进行分析,按入院时间平均分为研究组和对照组,各29例。对照组行常规救治,研究组在此基础上加行无创呼吸机辅助治疗,对比两组治疗后的各项指标。结果研究组总有效率86.21%,显著高于对照组62.07%(P<0.05);研究组心衰反应改善时间、呼吸困难好转用时以及下肢水肿改善时间均显著短于对照组(P<0.05);研究组治疗后的HR、RR和MAP指标改善均明显优于对照组(P<0.05)。结论无创呼吸机辅助治疗肺部感染并心衰老年患者可提升治疗总有效率,改善血流指标,缩短心衰改善用时。
Objective To analyze the Effect and safety of non-invasive ventilator-assisted therapy in elderly patients with pulmonary infection and heart failure.Methods Fifty-eight patients with pulmonary infection and heart failure admitted to our hospital from September 2015 to September 2017 were analyzed.According to the admission time,they were divided into study group and control group,29 cases in each group.The control group received routine treatment,and the study group received non-invasive ventilator-assisted therapy on the basis of the control group.The indexes of the two groups after treatment were compared.Results The total effective rate of the study group was 86.21%significantly higher than 62.07%of the control group(P<0.05).the improvement time of heart failure response,dyspnea and lower limb edema in the study group was significantly shorter than that in the control group(P<0.05);the improvement of HR,RR and MAP in the study group after treatment was better than that in the control group(P<0.05).Conclusion Non-invasive ventilator assisted treatment of pulmonary infection and senile heart patients can improve the total effective rate of treatment,improve blood flow indicators and shorten the improvement time of heart failure.
作者
可爱华
KE Aihua(Respiratory Department,Haidian Hospital,Beijing 100080,China)
出处
《大医生》
2019年第5期53-54,共2页
Doctor
关键词
无创呼吸机
肺部感染
心力衰竭
血气指标
血流动力学指标
non-invasive ventilator
pulmonary infection
heart failure
blood gas index
hemodynamic index
