| 重症患者两种撤机方式的比较 |
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| 引用本文： | 于湘友,钟琳. 重症患者两种撤机方式的比较[J]. 临床麻醉学杂志, 2011, 27(4) |
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| 作者姓名： | 于湘友 钟琳 |
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| 作者单位： | 1. 乌鲁木齐.新疆医科大学第一附属医院重症医学科,830054
2. 武警8660部队医院 |
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| 摘 要： | 目的 比较SmartCare/PS(SC)和压力支持通气(PSV)模式在重症患者中的撤机效果.方法 将41例行机械通气的重症患者,在满足临床撤机条件后,随机分为SC组(n=21)和PSV组(n=20),分别采用SC和PSV模式撤机.记录撤机时间、总通气时间(TVT)、人工操作次数,以及再插管率、气管切开率、气胸发生率和呼吸机相关肺炎(VAP)发生率.结果 SC组撤机时间、TVT较PSV组明显缩短(P<0.05);SC组人工操作次数较PSV组明显减少(P<0.05);两组再插管率、气管切开率、气胸发生率和VAP发生率差异无统计学意义.结论 SC模式可缩短重症患者的撤机时间、TVT和减轻医务人员工作量.
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| 关 键 词： | 智能化撤机 撤机时间 总通气时间 呼吸机相关肺炎 |
Comparison of two weaning methods used in intensive care patients |
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| YU Xiang-you,ZHONG Lin. Comparison of two weaning methods used in intensive care patients[J]. The Journal of Clinical Anesthesiology, 2011, 27(4) |
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| Authors: | YU Xiang-you ZHONG Lin |
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| Affiliation: | YU Xiang-you,ZHONG Lin.Department of ICU,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China |
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| Abstract: | Objective To investigate the weaning effect of SC and PSV methods in intensive care patients.Methods After fitting clinical weaning condition forty-one intensive care patients on mechanical ventilation were randomized into 2 groups: weaning with SC(n=21) or with PSV(n=20).The weaning time,total ventilation time,the manual setting changes while weaning and the rate of the reintubation,tracheotomy,pneumothorax and ventilator-associated pneumonia were recorded.Results The weaning time and total ventilation tim... |
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| Keywords: | Intelligent weaning The weaning time The total ventilation time Ventilator-associated pneumonia |
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