CAJ | 학술논문

目的探讨呼气末二氧化碳分压(PetCO_2)和动脉血二氧化碳分压(PaCO_2)的相关性及其在呼吸衰竭患者监护中的临床应用意义和护理体会.方法将112例入住ICU进行PetCO_2监测的患者按血流动力学情况分为2组,血流动力学较稳定的患者58例作为A组,血流动力学不稳定的患者54例作为B组.2组均接受气管插管呼吸机辅助通气,在通气支持2h后同时测定PetCO_2和PaCO_2并对结果进行分析.结果 A组患者的PetCO_2和PaCO_2显著相关,B组患者的PetCO_2和PaCO_2无显著相关.结论对于血流动力学稳定的患者,PetCO_2和PaCO_2具有良好的相关性,可由PetCO_2来代替PaCO_2的监测,PetCO_2能迅速敏感地反映PaCO_2的变化,具有无创、连续、动态、简便、节约之优点.
목적 탐토호기말이양화탄분압(PetCO_2)화동맥혈이양화탄분압(PaCO_2)적상관성급기재호흡쇠갈환자감호중적림상응용의의화호리체회.방법 장112례입주ICU진행PetCO_2감측적환자안혈류동역학정황분위2조,혈류동역학교은정적환자58례작위A조,혈류동역학불은정적환자54례작위B조.2조균접수기관삽관호흡궤보조통기,재통기지지2h후동시측정PetCO_2화PaCO_2병대결과진행분석.결과 A조환자적PetCO_2화PaCO_2현저상관,B조환자적PetCO_2화PaCO_2무현저상관.결론 대우혈류동역학은정적환자,PetCO_2화PaCO_2구유량호적상관성,가유PetCO_2래대체PaCO_2적감측,PetCO_2능신속민감지반영PaCO_2적변화,구유무창、련속、동태、간편、절약지우점.
Objective To know the correlation about PetCO_2 and PaCO_2, the meanings of PetCO_2monitoring in respiratory failure patients with mechanical ventilation, and then summarize the related nurs-ing points. Methods Divided 112 patients in ICU into the A group(58 eases) and the B group(54 cas-es) according to their station of hemodynamics. Mechanical ventilation were used in both the two groups,PetCO_2 and PaCO_2 were monitored at the same time, and then observed the correlation of PetCO_2 and Pa-CO_2 in both the two groups. Results There was a significant corrlation in the A group about PetCO_2 and PaCO_2, while the correlation in the B group was not significant. Conclusions PetCO_2 and PaCO_2 had sat-isfactory corrlation in patients with stable hemedynamies, PetCO_2 monitoring can take place of PaCO_2 in these patients with its sensitive, atraumatic, consecutive and convient merits.