现代仪器与医疗
現代儀器與醫療
현대의기여의료
Modern Instrument and Medical Treatment
2015年
1期
47-49
,共3页
新生儿%通气模式%呼吸力学%全麻
新生兒%通氣模式%呼吸力學%全痳
신생인%통기모식%호흡역학%전마
newborn%ventilationmode%respiratory dynamics%general anesthesia
目的：探讨压力控制容量保证(PCV-VG)呼吸模式对全麻新生儿肺功能的影响。方法：2013年5月至2014年5月全麻下平卧位行下腹部和盆腔开腹手术足月新生儿40例，随机分为两组,容量控制通气（V）组和压力控制容量保证（P）组，记录插管后5min(T0)、30 min(T1)、60 min (T2)、90min(T3)气道峰压(Ppeak)、气道平均压(Pmean)、气道平台压(Pplant)及肺顺应性(CL)和气道阻力(Raw)。同时在各时间点记录心率、平均动脉压并抽取动脉血检测PH值。结果：P组与V组比较，P组T0～T3时Ppeak、Pplant明显降低（P＜0.05）；与 T0时比较，T1～T3时V组中Ppeak、Pmean、Pplant、Raw明显升高（P＜0.05或P＜0.01）；而两组CL明显降低；P组T 3时CL明显升高；P组与V组各时间点的p H值和心率及M A P组间比较差异无统计学意义( P＞0.05)。结论：压力控制容量保证通气较容量控制通气模式更适用于全麻新生儿。
目的：探討壓力控製容量保證(PCV-VG)呼吸模式對全痳新生兒肺功能的影響。方法：2013年5月至2014年5月全痳下平臥位行下腹部和盆腔開腹手術足月新生兒40例，隨機分為兩組,容量控製通氣（V）組和壓力控製容量保證（P）組，記錄插管後5min(T0)、30 min(T1)、60 min (T2)、90min(T3)氣道峰壓(Ppeak)、氣道平均壓(Pmean)、氣道平檯壓(Pplant)及肺順應性(CL)和氣道阻力(Raw)。同時在各時間點記錄心率、平均動脈壓併抽取動脈血檢測PH值。結果：P組與V組比較，P組T0～T3時Ppeak、Pplant明顯降低（P＜0.05）；與 T0時比較，T1～T3時V組中Ppeak、Pmean、Pplant、Raw明顯升高（P＜0.05或P＜0.01）；而兩組CL明顯降低；P組T 3時CL明顯升高；P組與V組各時間點的p H值和心率及M A P組間比較差異無統計學意義( P＞0.05)。結論：壓力控製容量保證通氣較容量控製通氣模式更適用于全痳新生兒。
목적：탐토압력공제용량보증(PCV-VG)호흡모식대전마신생인폐공능적영향。방법：2013년5월지2014년5월전마하평와위행하복부화분강개복수술족월신생인40례，수궤분위량조,용량공제통기（V）조화압력공제용량보증（P）조，기록삽관후5min(T0)、30 min(T1)、60 min (T2)、90min(T3)기도봉압(Ppeak)、기도평균압(Pmean)、기도평태압(Pplant)급폐순응성(CL)화기도조력(Raw)。동시재각시간점기록심솔、평균동맥압병추취동맥혈검측PH치。결과：P조여V조비교，P조T0～T3시Ppeak、Pplant명현강저（P＜0.05）；여 T0시비교，T1～T3시V조중Ppeak、Pmean、Pplant、Raw명현승고（P＜0.05혹P＜0.01）；이량조CL명현강저；P조T 3시CL명현승고；P조여V조각시간점적p H치화심솔급M A P조간비교차이무통계학의의( P＞0.05)。결론：압력공제용량보증통기교용량공제통기모식경괄용우전마신생인。
Objective: To discuss the effect of pressure control with volume guarantee(PCV-VG) ventilation mode on respiratory dynamics in newborns with general anesthesia.Methods:2013 May to 2014 May,forty newborns for elective lower abdomen and pelvic laparotomy With supine position were selected and randomly allocated into two groups ventilated with PCV-VG and volume control ventilation (VCV) mode,respectively. Peak airway pressure (Ppeak),mean airway pressure(Pmean),airway plateau pressure (Pplant),lung compliance (Cl),and airway resistance (Raw)at 5 rain (To),30 rain(T1),60 min (T2),and 90min(T3) after intubation were recorded.At the same time the heart rate, mean arterial pressure and extract the arterial blood testing pH value at various time points were recorded. Results:GroupP compared with groupV, Ppeak and Pplant at T1~T3deceased significantly(P<0.05)in groupP;Compared with T0,Ppeak、Pmean、Pplant、Raw in group Vincreased signiifcantly at T1~T3 (P<0.05或P<0.01);CL decreased signiifcantly) in both groups; CL increased signiifcantly at T3 in group P; PH、HR、MAP in two groups at various time points showed no signiifcant difference (P>0.05).Conclusion:PCV - VG is better than VCV ventilation mode is suitable for the newborn general anesthesia.
