CAJ | 학술논문

目的：探讨EIC U机械通气患者应用神经调节辅助通气模式进行撤机的临床效果。方法：将符合撤机标准的62例机械辅助通气患者随机分为NAVA组和PSV 组各31例。NAVA组应用神经调节辅助通气（NAVA）模式进行撤机，PSV组应用压力支持通气（PSV）模式进行撤机。比较两组患者撤机成功率、再插管率及有创通气时间。结果：NAVA组成功撤机28例（90．3％），3例（9．7％）再插管继续有创通气；PS V 组成功撤机21例（67．7％），9例（29％）再插管继续有创通气；NAVA组有创通气时间4．42±1．03d ，PSV 组8．21±2．43d。两组撤机成功率、再插管率及有创通气时间比较差异有统计学意义（P＜0．05）。结论：采用神经调节辅助通气模式进行撤机，可以提高撤机成功率，缩短机械通气时间。
목적：탐토EIC U궤계통기환자응용신경조절보조통기모식진행철궤적림상효과。방법：장부합철궤표준적62례궤계보조통기환자수궤분위NAVA조화PSV 조각31례。NAVA조응용신경조절보조통기（NAVA）모식진행철궤，PSV조응용압력지지통기（PSV）모식진행철궤。비교량조환자철궤성공솔、재삽관솔급유창통기시간。결과：NAVA조성공철궤28례（90．3％），3례（9．7％）재삽관계속유창통기；PS V 조성공철궤21례（67．7％），9례（29％）재삽관계속유창통기；NAVA조유창통기시간4．42±1．03d ，PSV 조8．21±2．43d。량조철궤성공솔、재삽관솔급유창통기시간비교차이유통계학의의（P＜0．05）。결론：채용신경조절보조통기모식진행철궤，가이제고철궤성공솔，축단궤계통기시간。
Objective:To investigate the application value of the neurally adjusted ventilation assist in e‐mergency intensive care unit patients with the weaning from mechanical ventilation .Methods :62 casess with the mechanical ventilation who up to the standard of ventilator weaning were divided into two groups randomly :31 cases with NAVA (Neurally adjusted ventilation assist ) and the other 31 cases with PSV (Pressure support ventilation) . Then we compared the differences of the success rate of ventilator weaning ,reintubation rate and the invasive venti‐lation time between two groups .Results :Compared to the PSV group ,the NAVA group got higher success rate of ventilator weaning (90 .3% VS 67 .7% ) ,lower reintubation rate (9 .7% VS 29% )and less invasive ventilation time (4 .42 ± 1 .03d VS 8 .21 ± 2 .43d) .Conclusion :We can get higher success rate of ventilator weaning ,lower reintuba‐tion rate and less invasive ventilation time with the NAVA in emergency intensive care unit patients with the weaning from mechanical ventilation .