| 低潮气量机械通气对慢性肺病患者全麻术中肺呼吸的保护作用 |
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| 引用本文： | 魏智慧,张海清,韩田.低潮气量机械通气对慢性肺病患者全麻术中肺呼吸的保护作用[J].中国医药导报,2011,8(31):104-106. |
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| 作者姓名： | 魏智慧 张海清 韩田 |
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| 作者单位： | 河北省保定市第二中心医院麻醉科,河北保定,072750 |
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| 摘 要： | 目的：观察低潮气量加低水平呼气末正压通气在慢性肺部疾病患者全麻手术中对肺呼吸功能的影响。方法：将慢性肺部疾病拟行非肺部手术患者100例，随机分为保护性通气组和常规通气组，每组各50例。保护性通气组（A组），通气模式采用低潮气量加低水平呼气末正压（PEEP）机械通气；常规通气组（B组），采用常规方法通气。分别于麻醉诱导前（T0）、机械通气1h（T1）、拔管后15min（T2）、术后6h（T3）采动脉血行血气分析，并记录各时点的动脉血氧分压（PaO2）、动脉血二氧化碳分压（PaCO2）、气道峰压（Ppeak）、气道平台压（Pplat）、平均动脉压（MAP）。结果：T1、T2、T3时A组PaO2水平高于B组，T1时A组Ppeak、eplat低于B组，差异有统计学意义（P〈0．05）；两组各时点PaCO2、MAP比较，差异无统计学意义（P〉0．05）。结论：慢性肺部疾病患者全麻手术中，低潮气量加低水平呼气末正压通气的肺保护性通气策略对肺的呼吸功能有保护作用。
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| 关 键 词： | 低潮气量 呼气末正压 全身麻醉 慢性肺部疾病 呼吸功能 |
The efficacy of low tidal volume mechanical ventilation on pulmonary respiration protection of patients with chronic lung disease during general anesthesia |
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| WEI Zhihui,ZHANG Haiqing,HAN Tian.The efficacy of low tidal volume mechanical ventilation on pulmonary respiration protection of patients with chronic lung disease during general anesthesia[J].China Medical Herald,2011,8(31):104-106. |
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| Authors: | WEI Zhihui ZHANG Haiqing HAN Tian |
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| Institution: | WEI Zhihui,ZHANG Haiqing,HAN Tian Department of Anesthesiology,the Second Center Hospital of Baoding City,Heibei Province,Baoding 072750,China |
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| Abstract: | Objective: To observe the efficacy of low tidal volume plus low positive end expiratory pressure mechanical ventilation on respiratory function of patients with chronic lung disease during general anesthesia.Methods: 100 cases of patients with chronic lung disease who underwent non-lung surgery were randomly divided into protective ventilation group and conventional ventilation group,each of 50 cases.Low tidal volume ventilation plus low positive end expiratory pressure mechanical ventilation were adopted i... |
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| Keywords: | Low tidal volume Positive end expiratory pressure General anesthesia Chronic lung disease Respiratory function |
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