山东医药2011，Vol.51Issue(40)：66-68,3.
低潮气量通气对老年腹部手术肺顺应性及氧合的影响
Effect of low tidal volumes on lung compliance and oxygenation in elder patients during abdominal surgery
摘要
Abstract
Objective To investigate the effect of low tidal volumes on lung compliance ( CL) and oxygenation in elder patients during abdominal surgery. Methods Forty ASA I or II elder patients, aged over 60 years, scheduled for selective abdominal operation under general anesthesia were divided randomly into 2 groups: group LV (VT 7 ml/kg PBW) and group C (VT 12 ml/kg PBW). HR, MAP, SpO2, PETCO2, Ppeak, Pplat, CL were monitored continuously and recorded at 5 min (T0 ) , 30 min (T1),1h(T2),3h(T3) after tracheal intubation. Arterial blood gas analysis was performed at the same point. Result Compared with the group C, mechanical ventilation with low tidal volumes had lower peak airway pressures (Pplat and Ppeak, respectively) , and higher CL and PaO2. Conclusions Mechanical ventilation with low tidal volumes can improve CL and PaO2 in elder patients with abdominal surgery, which alleviates their abdominal injury.关键词
机械通气/低潮气量/肺顺应性/老年人Key words
mechanical ventilation/low tidal volumes/lung compliance/aged分类
医药卫生引用本文复制引用
朱蔚琳,黄中华,张学刚,何并文,黄爱兰,李锋,胡彦艳,秦丹丹..低潮气量通气对老年腹部手术肺顺应性及氧合的影响[J].山东医药,2011,51(40):66-68,3.基金项目
广西科技厅科学自然基金(桂科自064006) （桂科自064006）
