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目的:探讨无创正压通气对老年充血性心力衰竭患者的治疗效果。方法:86例老年心力衰竭患者分成两组,观察组44例进行强心、利尿和扩血管等常规治疗,同时NPPV治疗,对照组42例只给予常规治疗。比较两组12 h血氧分压和脑钠素(BNP)区别。结果:观察组和对照组治疗后PaO2分别为(84.1±12.5)mm Hg和(69.4±11.6)mm Hg(P<0.05);BNP分别为(254.5±42.6)pg/ml和(389.4±37.6)pg/ml(P<0.05)。结论:无创机械通气有助于改善老年充血性心力衰竭患者的心功能及低氧血症。
Objective: To investigate the therapeutic effect of noninvasive positive pressure ventilation on senile congestive heart failure. Methods: Eighty-six elderly patients with heart failure were divided into two groups. Forty-four patients in the observation group were given conventional therapy such as cardiotomy, diuretic and vasodilator. Meanwhile, NPPV was given to 42 cases in the control group. The differences of 12 h partial pressure of oxygen and brain natriuretic peptide (BNP) between the two groups were compared. Results: PaO2 was (84.1 ± 12.5) mm Hg and (69.4 ± 11.6) mm Hg respectively in the observation group and the control group (P <0.05); BNP was (254.5 ± 42.6) pg / ml and (389.4 ± 37.6) pg / ml (P <0.05). Conclusion: Non-invasive mechanical ventilation can improve heart function and hypoxemia in elderly patients with congestive heart failure.