中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2013年
22期
23-23,24
,共2页
小潮气量通气%肺复张策略%急性肺损伤
小潮氣量通氣%肺複張策略%急性肺損傷
소조기량통기%폐복장책략%급성폐손상
Small tidal volume ventilation%Recruitment maneuvers strategy%Acute lung injury
目的：探讨小潮气量通气和肺复张策略治疗小儿急性肺损伤的作用。方法：将笔者所在医院收治的65例急性肺损伤患儿随机分为两组，对照组30例给予常规机械通气治疗，观察组35例给予小潮气量联合肺复张策略治疗，观察两组血气分析指标。结果：观察组实施小潮气量通气和肺复张策略后24 h后，PaO2、PaO2/FiO2显著升高，PaCO2显著下降，与对照组比较差异有统计学意义(P<0.05)。结论：小潮气量通气和肺复张策略可以显著提高急性肺损伤患儿的肺顺应性和氧合功能，改善症状。
目的：探討小潮氣量通氣和肺複張策略治療小兒急性肺損傷的作用。方法：將筆者所在醫院收治的65例急性肺損傷患兒隨機分為兩組，對照組30例給予常規機械通氣治療，觀察組35例給予小潮氣量聯閤肺複張策略治療，觀察兩組血氣分析指標。結果：觀察組實施小潮氣量通氣和肺複張策略後24 h後，PaO2、PaO2/FiO2顯著升高，PaCO2顯著下降，與對照組比較差異有統計學意義(P<0.05)。結論：小潮氣量通氣和肺複張策略可以顯著提高急性肺損傷患兒的肺順應性和氧閤功能，改善癥狀。
목적：탐토소조기량통기화폐복장책략치료소인급성폐손상적작용。방법：장필자소재의원수치적65례급성폐손상환인수궤분위량조，대조조30례급여상규궤계통기치료，관찰조35례급여소조기량연합폐복장책략치료，관찰량조혈기분석지표。결과：관찰조실시소조기량통기화폐복장책략후24 h후，PaO2、PaO2/FiO2현저승고，PaCO2현저하강，여대조조비교차이유통계학의의(P<0.05)。결론：소조기량통기화폐복장책략가이현저제고급성폐손상환인적폐순응성화양합공능，개선증상。
Objective:To discuss the effect of Small tidal volume ventilation and recruitment maneuvers strategy in the treatment of acute lung injury. Methods:65 children in our hospital with acute lung injury were selected and divided into two groups.The children in observation groups were given Small tidal volume ventilation and recruitment maneuvers strategy,while the control group was given conventional ventilation.The blood gas indexes were observed in the two groups.Results:After 24 h treatment,PaO2,PaO2/FiO2 raised and PaCO2 significantly dropped in observation groups than control groups,there was significant difference(P<0.05).Conclusion:Small tidal volume ventilation and recruitment maneuvers strategy can improve the symptom and oxygenation function in child with acute lung injury.
