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| Improvement effect of non invasive positive pressure ventilation combined with integrated care on acute left heart failure |
| CHEN Hanxia, LI Dechang, FENG Yelyu |
| Heart Disease Department,Gaozhou Chinese Medicine Hospital Affiliated to GuangzhouChinese Medicine University,Gaozhou 525200,P.R.China |
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Abstract Objective To investigate the effect of Non Invasive Positive Pressure Ventilation (NIPPV) combined with integrated care on acute left heart failure (ALHF).Methods There were 109 cases of acute left heart failure patients in our hospital from January 2014 to November 2015,according to the actual situation of patients,and based the different treatment methods,whom were divided into group control (36 cases),group NIPPV (39 cases),and group (NIPPV+ Integrated Care) (34cases),in the control group received cardiac,diuretic and vasodilator drugs (such as cedilanid,katlex,nitroglycerin or sodium nitroprusside) treatment,while giving the nasal catheter oxygen 4-6L/min;in the group NIPPV given the drug therapy by NIPPV treatment,in the group (NIPPV+ Integrated Care),based on group NIPPV treatment,and carried out integrating care during treatment;Both the three groups treatment before and after treatment 2 hour,amino terminal B type natriuretic titanium precursor (BNP),heart rate (HR),respiratory rate (R),arterial blood (pH,PaO2,SaO2) and HAMA score were tested or recorded;and then using telephone or outpatient follow-up of 1 years, the health measurement scale (SF-36) score was evaluated the treatment effect of the two groups.Results Compared with before treatment,the three groups of R,HR and BNP,PaO2,SaO2 values were significantly improved at treatment after 2hour (P＜0.05),and the BNP,PaO2 value of both group NIPPV and group (NIPPV+ Integrated Care) were significantly better than the control group (P＜0.05),and th evalue PaO2 and SaO2 of group (NIPPV+ Integrated Care) were significantly better than group NIPPV;the 92.30% overall efficiency of the group NIPPV and 97.06% in group (NIPPV+ Integrated Care) were significantly better than that of the 86.11% in control group (P＜0.05),and both group NIPPV and group (NIPPV+ Integrated Care) before and after treatment of 2hour and HAMA scores after 1 years of follow-up (SF-36) scores were significantly better than the control (P＜0.05).Conclusions In the treatment of patients with acute left heart failure, NIPPV treatment combined with comprehensive care could be quickly correcting the hypoxia, and improving heart function, and reducing the incidence of complications, to some extent, it would be worth studying.
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Received: 19 December 2016
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