国际呼吸杂志
國際呼吸雜誌
국제호흡잡지
INTERNATIONAL JOURNAL OF RESPIRATION
2008年
9期
532-533
,共1页
呼吸过滤器%机械通气%气道峰压
呼吸過濾器%機械通氣%氣道峰壓
호흡과려기%궤계통기%기도봉압
Breathing filter%Mechanical ventilation%Peak inspiratory pressure
目的 综合性评价不同类型呼吸过滤器(breathing filter,BF)在机械通气中对气道峰压(peak inspiratory pressure,PIP)的影响.方法 选择择期全麻下行腹部手术患者60例,年龄18～65 岁,手术时间约3 h,既往无呼吸系统疾患及心力衰竭病史,随机分为4组(每组15例):PALL BB 25S(P)组、DAR 352/5805(D)组、Vital signs 5702 TMP(V1)组和Vital signs 5708 HEPA(V2)组,记录应用BF前5 min (t1)、应用BF后5 min(t2)及术毕即刻(t3)时的PIP值.结果 4组在同一时点比较中PIP值差异无统计学意义(P＞0.05);4组组内t2与t1时刻比较以及t3与t2时刻比较PIP值升高差异均有统计学意义(P＜0.05).结论 在机械通气中使用呼吸过滤器会增加一定程度的PIP,但PIP的实际测量值均在临床允许范围之内.
目的 綜閤性評價不同類型呼吸過濾器(breathing filter,BF)在機械通氣中對氣道峰壓(peak inspiratory pressure,PIP)的影響.方法 選擇擇期全痳下行腹部手術患者60例,年齡18～65 歲,手術時間約3 h,既往無呼吸繫統疾患及心力衰竭病史,隨機分為4組(每組15例):PALL BB 25S(P)組、DAR 352/5805(D)組、Vital signs 5702 TMP(V1)組和Vital signs 5708 HEPA(V2)組,記錄應用BF前5 min (t1)、應用BF後5 min(t2)及術畢即刻(t3)時的PIP值.結果 4組在同一時點比較中PIP值差異無統計學意義(P＞0.05);4組組內t2與t1時刻比較以及t3與t2時刻比較PIP值升高差異均有統計學意義(P＜0.05).結論 在機械通氣中使用呼吸過濾器會增加一定程度的PIP,但PIP的實際測量值均在臨床允許範圍之內.
목적 종합성평개불동류형호흡과려기(breathing filter,BF)재궤계통기중대기도봉압(peak inspiratory pressure,PIP)적영향.방법 선택택기전마하행복부수술환자60례,년령18～65 세,수술시간약3 h,기왕무호흡계통질환급심력쇠갈병사,수궤분위4조(매조15례):PALL BB 25S(P)조、DAR 352/5805(D)조、Vital signs 5702 TMP(V1)조화Vital signs 5708 HEPA(V2)조,기록응용BF전5 min (t1)、응용BF후5 min(t2)급술필즉각(t3)시적PIP치.결과 4조재동일시점비교중PIP치차이무통계학의의(P＞0.05);4조조내t2여t1시각비교이급t3여t2시각비교PIP치승고차이균유통계학의의(P＜0.05).결론 재궤계통기중사용호흡과려기회증가일정정도적PIP,단PIP적실제측량치균재림상윤허범위지내.
Objective To comprehensively evaluate the influence on peak inspiratory pressure(PIP)in mechanical ventilation.Methods Sixty patients,aged 18-65 years old,operating time about three hours,who underwent elective abdominal surgery in general anesthesia were enrolled.All patients had no breathing system diseases and heart failure diseases.All patients were randomly divided into four groups(n=15):PALL BB 25S(P)group,DAR 352/5805(D)group,Vital signs 5702 TMP(V1)group and Vital signs 5708 HEPA(V2)group.PIP scale was recorded at five minutes before applying BF,five minutes after applying BF and the finishing time of operation.Results There was no significant difference among four groups at the different time(P＞0.05).But at the t2 and t3 time,the value of PIP was higher than its former time in the same group(P＜0.05).Conclusions Using breathing filter has little influence on PIP.But its change is permitted in clinical practice.
