摘要
目的对比观察小潮气量辅助/控制(A/C)通气方式与气道压力释放通气(APRV)对急性呼吸窘迫综合征(ARDS)病人实施肺保护的差别,寻找更利于ARDS病情的机械通气的方式。方法前瞻性、对比观察APRV和小潮气量A/C通气方式对ARDS病人氧合指数、肺顺应性、血液动力学及死亡率和并发症的影响。结果 APRV通气方式与小潮气量A/C组(对照组)相比血氧饱和度和氧合指数明显改善,血液动力学稳定,肺顺应性增加,带机时间缩短。结论 APRV通气方式可从限压、小潮气量方面,打开肺通气策略实施肺的保护性通气策略。
Objective To observe comparatively the different lung protective effects between APRV and low tidal volume（A/C）ventilation mode on ARDS patients,and to find out the more effective mechanical ventilation mode on the patients with ARDS.Methods Prospective,contrast and investigate study was carried out on the different effect of oxygenation index,lung compliance,hemodynamic,and mortality and complications between APRV and low tidal volume（A/C）ventilation mode on patients with ARDS.Results Compared with low tidal volume（A/C）ventilation mode（control group）,APRV mode can significantly improve the oxygen saturation and oxygenation index,enhance hemodynamic stability,increase lung compliance,reduce the time with mechanical ventilation.Conclusion APRV ventilation method can practice protective lung strategy by using limited pressure and low tidal volume on patients with ARDS.
出处
《滨州医学院学报》
2011年第2期127-129,共3页
Journal of Binzhou Medical University
