检验医学与临床
檢驗醫學與臨床
검험의학여림상
JOURNAL OF LABORATORY MEDICINE AND CLINICAL SCIENCES
2014年
11期
1476-1477,1479
,共3页
同步间歇指令通气%压力支持%慢性阻塞性肺病
同步間歇指令通氣%壓力支持%慢性阻塞性肺病
동보간헐지령통기%압력지지%만성조새성폐병
synchronized intermittent mandatory ventilation%pressure support%chronic obstructive pul-monary disease
目的:观察同步间歇指令通气(SIMV)联合压力支持(PS)对慢性阻塞性肺疾病(COPD)的临床疗效,同时探讨SIMV+ PS的临床意义。方法将该院呼吸内科收治的COPD患者92例随机分为两组,两组患者入院后均进行感染治疗、原发病治疗、营养治疗等常规疗法;对照组(42例)在此基础上行SIM V ,观察组(50例)行SIM V+ PS。结果两组患者呼吸频率、潮气量、每分钟通气量、吸气峰压(PIP )、动脉血二氧化碳分压(PaCO2)、动脉血氧分压(PaO2)、动脉血氧饱和度(SaO2)、pH值等比较,差异均无统计学意义(P>0.05);观察组总通气时间、住ICU时间及脱机时间分别为(13±9)d、(15±10)d、(60±5)h ,均明显短于对照组的(21±11)d、(22±8)d、(73±8)h ,差异有统计学意义(P<0.05);观察组脱机成功率为92.0%,明显高于对照组的73.8%(P<0.05)。结论 SIMV+ PS通气模式可加速脱机,减少COPD患者对呼吸机的依赖,有利于患者疾病愈合。
目的:觀察同步間歇指令通氣(SIMV)聯閤壓力支持(PS)對慢性阻塞性肺疾病(COPD)的臨床療效,同時探討SIMV+ PS的臨床意義。方法將該院呼吸內科收治的COPD患者92例隨機分為兩組,兩組患者入院後均進行感染治療、原髮病治療、營養治療等常規療法;對照組(42例)在此基礎上行SIM V ,觀察組(50例)行SIM V+ PS。結果兩組患者呼吸頻率、潮氣量、每分鐘通氣量、吸氣峰壓(PIP )、動脈血二氧化碳分壓(PaCO2)、動脈血氧分壓(PaO2)、動脈血氧飽和度(SaO2)、pH值等比較,差異均無統計學意義(P>0.05);觀察組總通氣時間、住ICU時間及脫機時間分彆為(13±9)d、(15±10)d、(60±5)h ,均明顯短于對照組的(21±11)d、(22±8)d、(73±8)h ,差異有統計學意義(P<0.05);觀察組脫機成功率為92.0%,明顯高于對照組的73.8%(P<0.05)。結論 SIMV+ PS通氣模式可加速脫機,減少COPD患者對呼吸機的依賴,有利于患者疾病愈閤。
목적:관찰동보간헐지령통기(SIMV)연합압력지지(PS)대만성조새성폐질병(COPD)적림상료효,동시탐토SIMV+ PS적림상의의。방법장해원호흡내과수치적COPD환자92례수궤분위량조,량조환자입원후균진행감염치료、원발병치료、영양치료등상규요법;대조조(42례)재차기출상행SIM V ,관찰조(50례)행SIM V+ PS。결과량조환자호흡빈솔、조기량、매분종통기량、흡기봉압(PIP )、동맥혈이양화탄분압(PaCO2)、동맥혈양분압(PaO2)、동맥혈양포화도(SaO2)、pH치등비교,차이균무통계학의의(P>0.05);관찰조총통기시간、주ICU시간급탈궤시간분별위(13±9)d、(15±10)d、(60±5)h ,균명현단우대조조적(21±11)d、(22±8)d、(73±8)h ,차이유통계학의의(P<0.05);관찰조탈궤성공솔위92.0%,명현고우대조조적73.8%(P<0.05)。결론 SIMV+ PS통기모식가가속탈궤,감소COPD환자대호흡궤적의뢰,유리우환자질병유합。
Objective To observe the effect of synchronized intermittent mandatory ventilation (SIMV) com-bined with pressure support(PS) in chronic obstructive pulmonary disease(COPD) .Methods 92 cases of patients with COPD were randomly divided into two groups .Two groups of patients were given infection therapy ,the primary disease therapy ,nutritional therapy and other conventional therapy .The control group(42 cases) underwent SIMV , the observation group(50 cases) underwent SIMV + PS .Results The difference of two groups of respiratory rate , tidal volume ,minute ventilation ,peak inspiratory pressure(PIP) ,arterial carbon dioxide partial pressure(PaCO2 ) ,ar-terial oxygen pressure (PaO2 ) ,arterial oxygen saturation (SaO2 ) ,pH value was not statistically significant ( P>0 .05) .Total ventilation time ,ICU stay and offline time in observation group was (13 ± 9)d ,(15 ± 10)d ,(60 ± 5)h , significantly shorter than those of the control group of (21 ± 11)d ,(22 ± 8)d ,(73 ± 8)h (P< 0 .05) .Observation group offline success rate was 92 .0% ,significantly higher than the 73 .8% in control group(P<0 .05) .Conclusion SIMV + PS ventilation mode can accelerate offline ,reducing COPD patients on ventilator dependency ,which will help the patient a speedy recovery .