"量身定制"与"适合所有人":当前对个性化的PEEP和在外科期间持续的PEEP策略的知识

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Updated: Jan 10, 2026

Ex Vivo Porcine Experimental Model for Studying and Teaching Lung Mechanics

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Published on: April 19, 2024

Linfeng Wu¹, Jian Liao², Xiaoting Zhang¹

¹Department of Anesthesia Surgery, Taizhou Central Hospital (Taizhou University Hospital), Taizhou, China.

European journal of medical research

|November 26, 2025

概括

个性化正极呼气压 (iPEEP) 在减少术后肺部并发症方面优于恒定PEEP. 这种肺部保护策略可以改善手术期间的氧化和患者的治疗结果.

科学领域:

麻醉学麻醉学
关键护理医学关键护理医学
肺部医学肺部医学

背景情况:

手术后的肺部并发症 (PPC) 显著增加了手术患者的死亡率和住院时间.
阳性末尾呼吸压力 (PEEP) 是一种肺保护性通风策略,但恒定的高或低水平有缺点.
个性化PEEP (iPEEP) 正在成为固定PEEP策略的优越替代方案.

研究的目的:

在手术患者中审查个性化PEEP (iPEEP) 与持续PEEP相比的好处.
突出iPEEP在缓解术后肺部并发症和改善术后结果方面的作用.
为了支持iPEEP在全身麻醉外科手术的推.

主要方法:

对比iPEEP和恒定PEEP策略的研究的文献综述.
对PPC,氧化,肺部顺应和其他相关结果的数据分析.
综合关于iPEEP在各种手术类型中的影响的证据.

主要成果:

iPEEP有效地降低了PPCs,阿特莱克塔斯和呼吸机引起的肺损伤.
这一策略增强了动脉的氧化,并防止了呼吸末期的肺部崩.
iPEEP还可以改善术后认知功能,减少住院时间.

结论:

个人化PEEP (iPEEP) 建议在全身麻醉下对手术患者进行持续PEEP.
在减少并发症和改善康复方面,iPEEP提供了显著的优势.
需要进行进一步的研究,以建立最佳的iPEEP设置,并就呼吸机管理达成共识.

关键词:

个性化的PEEP是个性化的PEEP.手术后的肺部并发症外科手术手术手术呼吸机引起的肺损伤

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