广西医学
廣西醫學
엄서의학
GUANGXI MEDICAL JOURNAL
2014年
1期
20-22
,共3页
杨中良%杨秀云%孙宝玲%郭梅凤%钱忠心%刘卫东
楊中良%楊秀雲%孫寶玲%郭梅鳳%錢忠心%劉衛東
양중량%양수운%손보령%곽매봉%전충심%류위동
呼吸衰竭%呼气末正压%中心静脉压%平均动脉压
呼吸衰竭%呼氣末正壓%中心靜脈壓%平均動脈壓
호흡쇠갈%호기말정압%중심정맥압%평균동맥압
Respiratory failure%Positive end-expiratory pressure%Central venous pressure%Mean arterial pressure
目的:探讨呼气末正压( PEEP )对中枢性呼吸衰竭患者中心静脉压( CVP )和平均动脉压( MAP )的影响。方法40例中枢性呼吸衰竭患者均予同步间隙指令通气( SIMV ),随机设定PEEP水平为0、3、6、9、12、15 cmH2O;记录患者CVP和MAP的变化。结果 CVP水平与PEEP设定值呈正相关关系(r=0.520,P=0.000)。但MAP水平与PEEP无线性相关。结论 PEEP对中枢性呼吸衰竭患者CVP有影响,每1 cmH2 O的PEEP可使CVP检测值提高0.36 cmH2 O,而对MAP无影响。
目的:探討呼氣末正壓( PEEP )對中樞性呼吸衰竭患者中心靜脈壓( CVP )和平均動脈壓( MAP )的影響。方法40例中樞性呼吸衰竭患者均予同步間隙指令通氣( SIMV ),隨機設定PEEP水平為0、3、6、9、12、15 cmH2O;記錄患者CVP和MAP的變化。結果 CVP水平與PEEP設定值呈正相關關繫(r=0.520,P=0.000)。但MAP水平與PEEP無線性相關。結論 PEEP對中樞性呼吸衰竭患者CVP有影響,每1 cmH2 O的PEEP可使CVP檢測值提高0.36 cmH2 O,而對MAP無影響。
목적:탐토호기말정압( PEEP )대중추성호흡쇠갈환자중심정맥압( CVP )화평균동맥압( MAP )적영향。방법40례중추성호흡쇠갈환자균여동보간극지령통기( SIMV ),수궤설정PEEP수평위0、3、6、9、12、15 cmH2O;기록환자CVP화MAP적변화。결과 CVP수평여PEEP설정치정정상관관계(r=0.520,P=0.000)。단MAP수평여PEEP무선성상관。결론 PEEP대중추성호흡쇠갈환자CVP유영향,매1 cmH2 O적PEEP가사CVP검측치제고0.36 cmH2 O,이대MAP무영향。
Objective To evaluate the impact of positive end-expiratory pressure ( PEEP ) on central venous pressure(CVP) and mean arterial pressure (MAP) in patients with central respiratory failure .Methods Forty patients with central respiratory failure were enrolled in the study .They were ventilated in the mode of synchronized intermittent mandatory ventilation (SIMV),and six levels of PEEP (0,3,6,9,12,15 cmH2 O) were randomly chosen for all patients . The changes of their CVP and MAP were recorded .Results The CVP levels presented a positive correlation with the levels of PEEP(r=0.520,P=0.000).But the values of MAP showed no linear correlation with the levels of PEEP . Conclusion PEEP has effects on CVP in patients with central respiratory failure ,approximately 0.36 cmH2 O of CVP elevation for 1 cmH2 O of PEEP added ,but has no effects on MAP .