南方医科大学学报
南方醫科大學學報
남방의과대학학보
JOURNAL OF SOUTHERN MEDICAL UNIVERSITY
2010年
2期
371-373
,共3页
无创正压通气%胸部手术%肺功能
無創正壓通氣%胸部手術%肺功能
무창정압통기%흉부수술%폐공능
non-invasive positive pressure ventilation%thoracic surgery%pulmonary function
目的 通过前瞻性随机对照研究方法,探索无创正压通气(NPPV)对胸部外科术后肺功能恢复的影响.方法 符合 人选条件的胸外科手术后患者50例,随机分成常规治疗组和NPPV组.NPPV组在常规治疗基础上术后给予NPPV治疗.记录两组患者手术前后肺功能及残腔容积.结果 两组患者术后肺功能各项指标的变化值均无统计学差异(P>0.05).结论胸部手术后预防性应用NPPV治疗,未观察到NPPV对胸部手术后肺功能恢复有影响;肺大泡切除术患者术后肺通气功能下降低于肺叶切除术治疗的患者.
目的 通過前瞻性隨機對照研究方法,探索無創正壓通氣(NPPV)對胸部外科術後肺功能恢複的影響.方法 符閤 人選條件的胸外科手術後患者50例,隨機分成常規治療組和NPPV組.NPPV組在常規治療基礎上術後給予NPPV治療.記錄兩組患者手術前後肺功能及殘腔容積.結果 兩組患者術後肺功能各項指標的變化值均無統計學差異(P>0.05).結論胸部手術後預防性應用NPPV治療,未觀察到NPPV對胸部手術後肺功能恢複有影響;肺大泡切除術患者術後肺通氣功能下降低于肺葉切除術治療的患者.
목적 통과전첨성수궤대조연구방법,탐색무창정압통기(NPPV)대흉부외과술후폐공능회복적영향.방법 부합 인선조건적흉외과수술후환자50례,수궤분성상규치료조화NPPV조.NPPV조재상규치료기출상술후급여NPPV치료.기록량조환자수술전후폐공능급잔강용적.결과 량조환자술후폐공능각항지표적변화치균무통계학차이(P>0.05).결론흉부수술후예방성응용NPPV치료,미관찰도NPPV대흉부수술후폐공능회복유영향;폐대포절제술환자술후폐통기공능하강저우폐협절제술치료적환자.
Objective To evaluate the effects of noninvasive positive pressure ventilation (NPPV) on postoperative pulmonary function recovery in patients receiving thoracic surgeries. Methods Fifty thoracic surgical patients were enrolled in this prospective randomized controlled study and divided randomly into conventional treatment group and NPPV group. In the NPPV group, the patients were given NPPV therapy on the basis of convcntional treatment. The volume of the residual cavity and the lung function were recorded. Results At one week after the operation, the changes of lung function parameters were similar between NPPV and control group (P>0.05). Conclusions NPPV following thoracic surgeries produces no obvious effects on postoperative pulmonary complications or the lung functions, and bullous resection have less adverse effect than lobectomy on the lung function.
