Effect of Oxygen Driven Atomization Inhalation Combined with Ventilator on Acute Heart Failure and the Influence of Blood Gas Index and Inflammatory Factors
HUANG Zhengzhuang, YAN Huaixing, LI Yaofei
Nanning First People's Hospital, Guangxi Nanning 530022, China
Abstract:Objective: To study the rescue effect oxygen-driven nebulization inhalation combined with ventilator on blood gas index and inflammatory factors in patients with acute heart failure. Methods: 65 patients of chronic renal failure were divided into 35 cases in the observation group, from January 2016 to January 2019 in our hospital. The 30 cases in the control group by the simple random number table, On the basis of routine treatment, the control group was treated with non-invasive ventilator, while the observation group was combined with oxygen-driven nebulization inhalation, they continuous treatment for 7 days. The clinical efficacy, the changes of blood gas index, inflammatory factors, cardiac function index and adverse reactions were compared between the two groups. Results: After treatment, the total effective rate of the observation group was significantly higher than the control group (P<0.05). The blood gas indexe arterial partial pressure of carbon dioxide (PaCO2), arterial partial pressure of oxygen (PaO2), arterial oxygen saturation (SaO2), inflammatory factor high-sensitivity C-reactive protein (hs-CRP), interleukin-6 (IL-6), cardiac function index N-terminal pro-brain natriuretic peptide (NT-proBNP), heart rate (HR), stroke volume (SV), left ventricular ejection fraction (LVEF) of the two groups, there were significant differences between groups and at interblock and different time points(P<0.05); The above indicators have interaction among interblock and different time points(P<0.05); The difference before and after treatment in the observation group was greater than the control group (P<0.05); There was no significant difference in adverse reactions between the two groups(P>0.05). Conclusion: Oxygen-driven nebulization inhalation combined with ventilator is well for acute heart failure, which can effectively improveimprove the expression of blood gas indicators and inflammatory factors, promote the recovery of cardiac function, and has good safety, it's worthy of application and promotion.
黄正壮, 颜怀兴, 李耀飞. 氧气驱动雾化吸入联合呼吸机对急性心力衰竭的救治效果及血气指标炎症因子的影响[J]. 河北医学, 2020, 26(4): 553-558.
HUANG Zhengzhuang, YAN Huaixing, LI Yaofei. Effect of Oxygen Driven Atomization Inhalation Combined with Ventilator on Acute Heart Failure and the Influence of Blood Gas Index and Inflammatory Factors. HeBei Med, 2020, 26(4): 553-558.
[1] 曹剑.心力衰竭最新诊治进展[J].中华保健医学杂志,2017,19(05):375~378. [2] Lalu MM, Mazzarello S, Zlepnig J, et al. Safety and efficacy of adult stem cell therapy for acute myocardial infarction and ischemic heart failure (safe cell heart): a systematic review and meta-analysis[J]. Stem Cells Translational Medicine, 2018, 7(12): 857~866. [3] Masip J, Peacock WF, Price S, et al. Indications and practical approach to non-invasive ventilation in acute heart failure[J]. European Heart Journal, 2018, 39(1): 17~25. [4] 韩飞,晏丽,朱大治,等.雾化吸入法在临床中应用的研究进展[J].中国医院药学杂志,2016,36(24):2218~2222. [5] 中华医学会心血管病学分会,中华心血管病杂志编辑委员会.急性心力衰竭诊断和治疗指南[J].中华心血管病杂志,2010,38(3):195~208. [6] 葛均波,徐永健.内科学[M].第8版.北京:人民卫生出版社,2013.164~166. [7] 杜纪兵,丛洪良.急性心力衰竭诊治要点及临床治疗[J].临床荟萃,2017,32(03):185~188,196. [8] 张敏,孟照辉.心力衰竭发病机制及药物治疗进展[J].临床医学,2015,35(05):118~121. [9] Ozsancak Ugurlu A, Sidhom SS, Khodabandeh A, et al. Use and outcomes of noninvasive ventilation for acute respiratory failure in different age groups[J]. Respiratory Care, 2016, 61(1): 36~43. [10] 徐晓飞. 无创呼吸机治疗急性心力衰竭的疗效观察[J].中华全科医学,2016,14(10):1669~1670,1728. [11] 张昭,张婷婷,彭瑞敏,等.不同雾化吸入方式对慢性阻塞性肺疾病急性期的临床疗效[J].中华肺部疾病杂志(电子版),2015,8(04):470~471. [12] 凌如芳,周芳玲,戴诗敏.氧气驱动雾化吸入在支气管哮喘急性发作患者中的综合应用价值探讨[J].海南医学院学报,2015,21(05):636~638. [13] 雷婷婷,赵荣生.雾化吸入给药的临床应用现状及研究进展[J].临床药物治疗杂志,2016,14(03):1~5. [14] 李远航,文艳红,唐文辉.无创呼吸机联合氧气驱动雾化吸入治疗慢阻肺合并呼吸衰竭患者疗效观察[J].陕西医学杂志,2017,46(08):1095~1096.