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目的分析ICU急性心衰并呼吸衰竭患者过程中应用无创呼吸机能够取得怎样的临床价值。方法采用随机分组法将舞阳县人民医院接诊的202例ICU急性心衰并呼吸衰竭分成对照组(给予常规治疗)和试验组(给予无创呼吸机治疗),对比分析两组治疗的效果。结果试验组、对照组治疗的有效率分别为70.59%、48.00%,试验组明显优于对照组,差异具统计学意义(P<0.05);治疗组经治疗后p H值、Sp O2、Sjv O2三项血氧指标分别为(7.5±0.4)、(99.5±5.9)、(65.4±6.9)较对照组的(7.3±0.3)、(92.2±1.3)、(71.6±6.3)明显更优,差异具统计学意义,即(P<0.05)。结论在ICU急性心衰并呼吸衰竭的治疗过程中应用无创呼吸机效果显著,心肌氧耗量及心脏负荷明显降低。
Objective To analyze the clinical value of using noninvasive ventilator in patients with acute heart failure and respiratory failure in ICU. Methods 202 cases of ICU acute respiratory failure and respiratory failure admitted to Wuyang People’s Hospital were randomly divided into control group (given routine treatment) and experimental group (given non-invasive ventilator treatment), and the effects of two groups were compared. Results The effective rates of the treatment group and the control group were 70.59% and 48.00%, respectively, which were significantly better in the experimental group than those in the control group (P <0.05). After treatment, p H value, Sp O2, Sjv The results showed that the three oxygen indexes of O2 were significantly better than that of the control group (7.5 ± 0.4), (99.5 ± 5.9) and (65.4 ± 6.9), respectively (7.3 ± 0.3), (92.2 ± 1.3) and (71.6 ± 6.3) The difference was statistically significant (P <0.05). Conclusion The application of noninvasive ventilator in the treatment of acute heart failure and respiratory failure in intensive care unit (ICU) is effective and the myocardial oxygen consumption and cardiac load are significantly reduced.