摘要
目的:探讨适应性支持通气对ICU呼吸衰竭患者呼吸力学指标及预后的影响。方法:选择2016年1月-2019年1月广东省佛山市南海区人民医院收治的60例ICU呼吸衰竭患者作为研究对象,随机分为两组,每组各30例。对照组采用同步间歇指令通气(SIMV)+压力支持(PSV)方案通气,观察组采用适应性支持通气(ASV)方案通气,比较两组患者呼吸力学指标、血流动力学指标、及并发症发生情况。结果:通气期间,与对照组相比,观察组F、Ppeak、Pmean、Pplat,Rinsp、Rexp指标均较低,VT较高,并发症发生率较低,差异有统计学意义(P<0.05)。结论:ICU呼吸衰竭患者使用适应性支持通气,可改善患者呼吸力学指标,降低并发症发生率,利于患者预后。
Objective: To explore the effect of adaptive support ventilation on respiratory mechanics indexes and prognosis of patients with ICU respiratory failure. Methods: 60 patients with ICU respiratory failure admitted in the hospital from January 2016 to January 2019 were selected as the research subjects, and were randomly divided into 2 groups, with 30 cases in each group. The control group was ventilated by synchronized intermittent command ventilation(SIMV) + pressure support(PSV), and the observation group was ventilated by adaptive support ventilation(ASV). The respiratory mechanics indexes, hemodynamic indexes and complications of the two groups were compared. Results: During ventilation, compared with the control group, the F, Ppeak, Pmean,Pplat, Rinsp and Rexp indicators of the observation group were lower,VT was higher and the incidence of complications was lower. The difference was statistically significant(P<0.05). Conclusion: The use of adaptive support ventilation in patients with respiratory failure in ICU can improve the patient’s respiratory mechanics index, reduce the incidence of complications, and benefit the patient’s prognosis.
作者
罗健成
梁福攸
张宗绵
谭丽媚
彭思蔚
LUO Jian-cheng;LIANG Fu-you;ZHANG Zong-mian(Department of Critical Care Medicine,Nan-hai District People's Hospital,Foshan,Guangdong,528200,China)
出处
《黑龙江医学》
2021年第3期235-236,共2页
Heilongjiang Medical Journal
关键词
ICU呼吸衰竭
适应性支持通气
呼吸力学指标
预后
ICU respiratory failure
Adaptive support ventilation
Respiratory mechanics index
Prognosis
