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时间:2020-05-02
《低潮气量机械通气在全身麻醉中的应用.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、现代医药卫生2014年2月28日第30卷第4期JModMedHealth,February28.,2014,Vo1.30,No.4493-·论著·低潮气量机械通气在全身麻醉中的应用赵双,曾玲双2,邢学宁(1.宁夏医科大学,宁夏银川750004;2.宁夏医科大学第二附属医院麻醉科,宁夏银川750001;3.宁夏医科大学第二附属医院重症监护科,宁夏银川750001)【摘要】目的探讨全身麻醉应用低潮气量(vT)机械通气的可行性。方法回顾分析2005年1月至2013年3月在全身麻醉下行择期手术患者200例,按照机械通气VT不同分为两组
2、,各100例。I组VT8—10mL/kg,应用传统潮气量通气;Ⅱ组VT6~<8mL&g,应用小潮气量通气。比较术中两组患者呼气末二氧化碳(P耵cO2)、气道压、血氧饱和度(Sp02)、胸肺顺应性等相关指标。结果两组SpO2比较,差异无统计学意义(P>0.05);II组术中PEIc02高于I组,差异有统计学意义(P<0.05);I1组术中气道平台压、气道峰压低于I组,差异均有统计学意义(P<0.05),而两组胸肺顺应性比较,差异无统计学意义(O.05)。结论低V机械通气作为一种肺保护通气策略应用于全身麻醉是可行的。【关键词】麻醉
3、,全身;呼吸,人工;潮气量doi:10.3969~.issn.1009.5519.2014.04.006文献标识码:A文章编号:1009.5519(2014)04.0493.02ApplicationoflowtidalvolumeventilationinthesurgerywithgeneralanesthesiaZhaoShuanf,ngLingshuanf,XingXueninf(1.SchoolofPostgraduate,NingxiaMedicalUnivertsity,Yinchuan,Ningxia75000
4、4,China;2.Departmentofanesthesiology,theSecondAfiliatedHospitalofNingxiaMedicalUniversity,Yinchuan,Ningxia750001,China;3.IntensiveCareUnit,theSec-ondAffiliatedHospital,NingxiaMedicalUniversity,Yinchuan,Ningxia750001,China)【Abstract】ObjectiveToexplorethefeasibilityof
5、mechanicalventilationwithlowvolumeoftidal(VT)forthesurgery山generalanesthesia.MethodsAtotalof200patients,whounderwentselectivesurgeryundergeneralanesthesiafromJanuary2005toMarch2013,wereanalyzedretrospectivelyanddividedintotwogroupswith100casesineachgroupaccordingtot
6、hedif-ferentVTofmechanicalventilation.Patientswith8-10mUkgVTinthegroup1weresubjecttotraditionalventilation,whilethosewith6-<8mL/kgVTingroupIIadoptedmechanicalventilation.erelatedindicatorsincludingendtidalCO2(IcO2),peakairwaypressure,oxyhemoglobinsaturation(SpO2),lu
7、ng-thoraxcomplianceandsooninthetwogroupswerecontinuouslymonitoredandcompared.ResultsThediferenceofSpO2inthetwogroupshadnostatisticalsignificance(P>O.05).ThecontentofIcO2intheIgroupwashigherthanthatintheⅡgroupwithstatisticallysignificantdifference(P8、PpeakintheⅡgroupwerelowerthanthoseintheIgroupwithstatisticallysignificantdifference(P
8、PpeakintheⅡgroupwerelowerthanthoseintheIgroupwithstatisticallysignificantdifference(P
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