在机械呼吸患者中,正极端呼气压 (PEEP) 和腹内压 (IAP) 之间的关系:一项前性观察性研究
Mohammed M Al-Jabri1, Ghada H Ahmed2, Mostafa M A Ali3
1Department of Nursing Science, Prince Sattam bin Abdulaziz University, Wadi Aldawaser, Saudi Arabia.
Nursing in critical care
|October 3, 2024
概括
在机械通风患者中,较高的阳性末尾呼气压与增加的腹内压力有关. 重症护理小组应监测腹腔内压力,以防止接受机械通风的患者出现不良影响.
科学领域:
- 关键护理医学 关键护理医学
- 肺部病理学 肺部病理学
- 手术重症监护手术重症监护
背景情况:
- 正极呼气压 (PEEP) 是一个重要的机械通风参数.
- 腹内高血压 (IAH) 被定义为持续的腹内压力 (IAP) ≥12 mmHg.
- 在机械呼吸患者中PEEP对IAP的影响仍在争论中.
研究的目的:
- 为了研究PEEP和IAP在重症监护病房患者之间的关系.
- 评估不同PEEP水平如何影响机械通风的个体的IAP.
- 为了提供来自上埃及的第三级医院的数据.
主要方法:
- 从2023年10月到2024年2月进行的前性观察研究.
- 成年患者根据PEEP分为两组:低 (<8厘米H2O) 和高 (8-10厘米H2O).
- 测量了腹内压力,并将两组之间的压力进行了比较.
主要成果:
- 招募了120名患者 (每组60名);常见的诊断包括肺炎和ARDS.
- 在低PEEP (18.9±3.3 mmHg) 和高PEEP (24.4±5.9 mmHg) 组 (p<0.001) 之间观察到平均IAP的显著差异.
- 高PEEP与较高的IAP类别有显著的相关性,在严重IAH组 (>25 mmHg) 中40%的高PEEP患者与低PEEP组的0%相比.
结论:
- 在机械通风患者中,PEEP水平和IAP之间存在显著的关系.
- 较高的PEEP水平与高的IAP有关.
- 对接受PEEP机械通风患者来说,密切监测IAP至关重要,以防止并发症.
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