国际呼吸杂志
國際呼吸雜誌
국제호흡잡지
International Journal of Respiration
2015年
15期
1133-1135
,共3页
机械通气%撤机%自主呼吸试验%T管
機械通氣%撤機%自主呼吸試驗%T管
궤계통기%철궤%자주호흡시험%T관
Mechanical ventilation%Weaning%Spontaneous breathing trials%T-tube
目的 探讨接受有创通气的COPD患者撤机时自主呼吸试验(SBT)的实施方法及其价值.方法 接受有创通气的112例COPD患者(均经口气管插管),经治疗后均具备撤机指征,随机分为2组,采用两种SBT方法:T管法(T管组)、低水平持续气道正压通气(CPAP)法(CPAP组),持续观察120 min,比较2组患者机械通气时间、呼吸机相关性肺炎(VAP)发生率、48 h再插管率,病死率.结果 CPAP组较T管组缩短机械通气时间,其VAP发生率、48 h再插管率均低于T管组,但2组比较病死率差异无统计学意义.结论 低水平CPAP法实施SBT用于指导COPD患者撤机,在提高撤机成功率、减少VAP发生率方面,优于传统T管法.
目的 探討接受有創通氣的COPD患者撤機時自主呼吸試驗(SBT)的實施方法及其價值.方法 接受有創通氣的112例COPD患者(均經口氣管插管),經治療後均具備撤機指徵,隨機分為2組,採用兩種SBT方法:T管法(T管組)、低水平持續氣道正壓通氣(CPAP)法(CPAP組),持續觀察120 min,比較2組患者機械通氣時間、呼吸機相關性肺炎(VAP)髮生率、48 h再插管率,病死率.結果 CPAP組較T管組縮短機械通氣時間,其VAP髮生率、48 h再插管率均低于T管組,但2組比較病死率差異無統計學意義.結論 低水平CPAP法實施SBT用于指導COPD患者撤機,在提高撤機成功率、減少VAP髮生率方麵,優于傳統T管法.
목적 탐토접수유창통기적COPD환자철궤시자주호흡시험(SBT)적실시방법급기개치.방법 접수유창통기적112례COPD환자(균경구기관삽관),경치료후균구비철궤지정,수궤분위2조,채용량충SBT방법:T관법(T관조)、저수평지속기도정압통기(CPAP)법(CPAP조),지속관찰120 min,비교2조환자궤계통기시간、호흡궤상관성폐염(VAP)발생솔、48 h재삽관솔,병사솔.결과 CPAP조교T관조축단궤계통기시간,기VAP발생솔、48 h재삽관솔균저우T관조,단2조비교병사솔차이무통계학의의.결론 저수평CPAP법실시SBT용우지도COPD환자철궤,재제고철궤성공솔、감소VAP발생솔방면,우우전통T관법.
Objective To explore the implementation ways and the value of spontaneous breathing trials (SBT) in the weaning of chronic obstructive pulmonary disease (COPD) accepting invasive ventilation.Methods One hundred and twelve patients of COPD accepting invasive ventilation (all oral intubation group),when they have the criteria for weaning after treating,they were diveded into two groups receiveing different SBT:T-tube group and CPAP group,observe 120 min to compare the time of mechanic ventilation,ventilation associate plumonary (VAP) incidence rate,48 hour re-intubation rate,mortality.Results CPAP group is short duration to T-tube group in the time of mechanical ventilation,low incidence rate of VAP,low re-intubation rate within 48 hour,and there is no statistically significant difference in the mortality.Conclusions CPAP group is superior to T-tube group in guiding the weaning of COPD,improving the success rate of weaning,reducing the incidence rate of VAP.
