Clinical efficacy of non-invasive ventilator therapy for heart failure complicated with respiratory failure in ICU ward
ICU病房心力衰竭合并呼吸衰竭采用无创呼吸机治疗的临床疗效

摘要

目的 实验将探讨ICU病房心力衰竭合并呼吸衰竭采用无创呼吸机治疗的临床疗效。方法 研究筛选出了一共60例心力衰竭合并呼吸衰竭患者为对象，都于2020年3月至2021年5月进入本院治疗，以平行对照法为原则分组。对照组患者实行常规药物与低流量持续吸氧治疗方案，观察组患者实行常规药物与无创正压通气治疗方案，对比治疗成果。结果 从治疗后动脉血气结果数据可见，观察组Pa02、PaC02、PH值分别为（8.1±2.5）mmHg、（5.4±0.7）mmHg、（7.5±0.4），对照组分别为（7.8±2.1）mmHg、（5.9±0.8）mmHg、（7.4±0.3），观察组优于对照组，对比具有统计学意义（P＜0.05）。对比两组患者治疗后心率与呼吸频率，观察组心率与呼吸频率分别为（62.1±8.9）次/min、（18.8±1.2）次/min，对照组分别为（78.4±8.7）次/min、（26.3±1.6）次/min，观察组明显低于对照组，对比具有统计学意义（P＜0.05）。与此同时，在治疗有效率的调查上，观察组患者的治疗总有效率为96.6%，明显优于对照组的73.3%，差异具有统计学意义。结论 采用无创呼吸机治疗对于ICU病房心力衰竭合并呼吸衰竭患者的治疗效果显著，可提高治疗总有效率，我们应当继续坚持这一策略，在继承借鉴中发展。

Abstract

Objective: The experiment will explore the clinical efficacy of non-invasive ventilator in the treatment of heart failure complicated with respiratory failure in ICU ward.
Methods: A total of 60 patients with heart failure combined with respiratory failure were screened out in the study, and they were all admitted to our hospital for treatment from March 2020 to May 2021, and were grouped according to the principle of parallel control. The patients in the control group were treated with conventional drugs and low-flow continuous oxygen inhalation therapy, and the patients in the observation group were treated with conventional drugs and non-invasive positive pressure ventilation, and the treatment results were compared.
Results: From the data of arterial blood gas results after treatment, the Pa02, PaC02 and PH values of the observation group were (8.1±2.5) mmHg, (5.4±0.7) mmHg, (7.5±0.4), respectively, and the control group were (7.8±2.1) mmHg, (5.9±0.8) mmHg, (7.4±0.3), the observation group was better than the control group, and the comparison was statistically significant (P<0.05). The heart rate and respiratory rate of the two groups of patients after treatment were compared. The heart rate and respiratory rate of the observation group were (62.1±8.9) times/min, (18.8±1.2) times/min, and the control group were (78.4±8.7) times/min, respectively. (26.3±1.6) times/min, the observation group was significantly lower than the control group, and the comparison was statistically significant (P<0.05). At the same time, in the investigation of the treatment efficacy, the total treatment efficacy rate of the observation group was 96.6%, which was significantly better than that of the control group, which was 73.3%, and the difference was statistically significant.
Conclusion  : The use of non-invasive ventilator therapy for patients with heart failure combined with respiratory failure in ICU ward has a significant therapeutic effect, which can improve the total effective rate of treatment. We should continue to adhere to this strategy and develop through inheritance and reference.