Abstract
Objective To analyze the clinical efficacy of noninvasive positive pressure ventilation (NIPPV) for treatment of acute myocardial infarction (AMI) with pulmonary edema.Methods 70 patients with AMI combined with pulmonary edema,were selected and randomly divided into two groups,the control group with 35 patients used ordinary oxygen mask conventional treatment; observation group with 35 patients was given conventional treatment on the basis of a two-way positive airway pressure therapy.Then we observed the patients' heart rate,blood pressure,respiratory rate,serum BNP and arterial blood gas index changes.Result The observation group was positive airway pressure therapy 2 h and 24 h,respiratory rate,PaO2 improving situation better than that of the control group,the difference was statistically significant (P ＜0.05); 72 h after treatment,the observation group,serum BNP levels were significantly lower than those of the control group (P＜0.01).Conclusion NIPPV can be effective in improving pulmonary edema in patients with AMI,with good effect,which is suitable for promotion and application. Key words: Noninvasive positive pressure ventilation (NIPPV); Acute myocardial infarction (AMI); Pulmonary edema
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