机械通气对ICU重症心力衰竭患者呼吸循环及心功能的影响

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摘 要 目的：探讨机械通气在重症监护病房（ICU）重症心力衰竭患者中的应用效果。方法：选取82例重症心力衰竭患者，按随机数字表法分为两组，各41例。对照组予以常规治疗，观察组加用机械通气治疗。治疗7d后评价疗效，比较两组临床疗效。结果：治疗后观察组RR、PaCO2、LVESV、LVEDV、ALD、ANP、SVRI水平较对照组低，而PaO2、OI、LVEF、COR、CI、SV水平较对照组高（P

关键词 重症心力衰竭 机械通气 呼吸循环功能 心功能 不良心血管事件

中图分类号：R473.5； R541.61 文献标志码：B 文章编号：1006-1533（2023）19-0067-04

引用本文 余丽娅， 吴子芳， 李亚楠， 等. 机械通气对ICU重症心力衰竭患者呼吸循环及心功能的影响[J]. 上海医药， 2023， 44（19）： 67-70.

Effect of mechanical ventilation on respiratory circulation and cardiac function in ICU patients with severe heart failure

YU Liya， WU Zifang， LI Ya’nan， MA Qianqian

（Department of Cardiology， Zhengzhou Seventh People’s Hospital， Zhengzhou 450000， China）

ABSTRACT Objective： To investigate the effect of mechanical ventilation on patients with severe heart failure in intensive care unit （ICU）. Methods： Eighty-two patients with severe heart failure were selected and divided into two groups with 41 cases each according to random number table method. The control group was given routine treatment， while the observation group was additionally given mechanical ventilation treatment. The therapeutic effect was evaluated 7 days after treatment， and the clinical efficacy was compared between the two groups. Results： After treatment， the levels of RR， PaCO2， LVESV， LVEDV， ALD， ANP and SVRI were lower and the levels of PaO2， OI， LVEF， COR， CI and SV were higher in the observation group than the control group （P

KEY WORDS severe heart failure； mechanical ventilation； respiratory and circulatory function； cardiac function； adverse cardiovascular events

心力衰竭为多种心脏疾病发展的终末阶段，心脏泵血功能出现障碍，易形成血液瘀堵，造成心脏循环障碍，从而诱发呼吸困难、体液潴留等症状[1-2]。（剩余3709字）