CAJ | 학술논문

目的：探讨小儿腹腔镜麻醉喉罩通气时压力控制通气和容量控制通气的安全性。方法：90例患儿中45例（P组）患儿使用压力控制通气，剩余45例（V组）患儿采取容量控制通气，通过比较两组患儿各时间点的生命体征指标MAP和HR，血气指标PaCO2，肺通气指标Cdyn以及不良反应来评价两种方法的安全性。结果：P组在维持MAP、HR、PaCO2以及Cdyn平稳性上明显优于V组，同时P组患儿不良反应也明显轻于V组，两组比较差异均有统计学意义（P<0.05）。结论：压力控制通气能良好地维持患儿各项指标平稳，且不良反应少，安全性高。
목적：탐토소인복강경마취후조통기시압력공제통기화용량공제통기적안전성。방법：90례환인중45례（P조）환인사용압력공제통기，잉여45례（V조）환인채취용량공제통기，통과비교량조환인각시간점적생명체정지표MAP화HR，혈기지표PaCO2，폐통기지표Cdyn이급불량반응래평개량충방법적안전성。결과：P조재유지MAP、HR、PaCO2이급Cdyn평은성상명현우우V조，동시P조환인불량반응야명현경우V조，량조비교차이균유통계학의의（P<0.05）。결론：압력공제통기능량호지유지환인각항지표평은，차불량반응소，안전성고。
Objective:To study the safety between pressure control ventilation and volume control ventilation with laparoscopic anesthesia throat. Method:45 cases patients(group P)in 90 patients used pressure controlled ventilation,the remaining 45 cases(group V)used volume control ventilation,and the different time points of MAP,HR,PaCO2,Cdyn were compared between the two groups. Result:In group P,HR,PaCO2,MAP,Cdyn was better than V group in the maintenance of stationarity,while the adverse reactions of patients in group P were also significantly lower than V group,and the difference between the two groups were statistically significant(P<0.05). Conclusion:Pressure control ventilation can maintain good indicators in patients with stable,less adverse reactions and high security.