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在手术内机械通风时如何预防风机引起的肺损伤? 一个随机的前性研究
Mesut Türk1, Furkan Tontu2, Sinan Aşar3
1Ağrı Training and Research Hospital, Clinic of Anaesthesiology and Reanimation, Ağrı, Turkey.
Turkish journal of anaesthesiology and reanimation
|July 12, 2024
概括
控制体积通风 (VCV) 的机械功率 (MP) 显著低于压力控制通风 (PCV) 在仰卧和倾斜的位置,降低呼吸器诱导的肺损伤 (VILI) 的风险.
科学领域:
- 麻醉学 麻醉学
- 关键护理医学 关键护理医学
- 呼吸系统生理学 呼吸系统生理学
背景情况:
- 在手术期间的机械通风可以导致呼吸器诱导的肺损伤 (VILI).
- 机械功率 (MP) 量化了导致VILI的呼吸机制.
- 音量控制通风 (VCV) 和压力控制通风 (PCV) 是常见的手术内模式.
研究的目的:
- 为了比较VCV和PCV模式,关于呼吸机制和MP.
- 评估与卧卧和卧卧的不同通风模式相关的VILI风险.
主要方法:
- 80名患者被分为四组:VCV卧底,VCV倾向型,PCV卧底和PCV倾向型 (每组20名患者).
- 收集的数据包括MP,呼吸系统参数,患者人口统计和体重.
- 数据从电子数据池中查询数据,使用SQL.
主要成果:
- 与PCV组相比,VCV组的supine和prone MP值显著较低 (分别P=0.010和P=0.001).与PCV组相比,VCV组的supine和prone MP值显著较低.
结论:
- 在躺着和躺着的位置上,VCV显示的MP低于PCV.
- 在外科手术中使用的PCV可能会增加卧卧和卧卧的VILI风险.
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