[在重症监护病房使用机械通风的患者中,不同输出管外术技术对输出管外术的影响的比较]
Ruru Zhao1,2, Yuanbo Liu2, Yihong Huang2
1Second 2 of Critical Care Department, the First Affiliated Hospital of Guangxi Medical University, Nanning 530021, Guangxi Zhuang Autonomous Region, China.
与负压方法相比,正压输出管显著减少机械通风ICU患者的咳和低血症等并发症. 建议使用低压正压输出管,以获得更好的结果和程序后稳定的血液氧和.
科学领域:
- 临界护理医学 临界护理医学
- 呼吸系统疗法 呼吸系统疗法
- 机械通风机械通风机械通风
背景情况:
- 机械通风是重症患者的生命支持措施.
- 输出管,取消机械通风的过程,带有并发症的风险.
- 优化输出管技术对于重症监护室 (ICU) 患者的康复至关重要.
研究的目的:
- 为了比较三个不同的输出管技术的临床应用效果.
- 评估与输出管相关并发症的发生率和生理稳定性.
- 确定机械通风ICU患者最有效的输出管的策略.
主要方法:
- 一项前性随机对照研究,涉及126名机械通风ICU患者.
- 三组:负压输出管,低水平的正压 (PS 7,PEEP 5 cmH2O) 和高水平的正压 (PS 15,PEEP 10 cmH2O).
- 评估了输出术后的并发症 (呼吸暂停,咳,喉疼痛,,衰竭,低氧化,头缩) 和生命体征 (心率,血压,氧和).
主要成果:
- 阳性压力输出管组显示,与负压相比,短呼吸,严重咳,喉疼痛,呼吸道,低氧化和高头的发生率显著降低.
- 在两组之间,输出管失败率没有显著差异.
- 阳性压力组与负压力组相比,保持了更高的血氧和和更稳定的血液动力学后输出管.
结论:
- 积极压力输出管在减少机械通风的ICU患者的并发症方面优于负压力输出管.
- 低压正压输出管显示出有利的临床效果,包括改善输出管后的氧化.
- 该研究建议使用低压正压输出管作为首选方法.
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