检验医学与临床Issue(11)：1476-1477,1479,3.DOI:10.3969/j.issn.1672-9455.2014.11.010
同步间歇指令通气辅以压力支持对慢性阻塞性肺疾病的疗效研究
The effect of synchronized intermittent mandatory ventilation combined with pressure support in chronic obstructive pul- monary disease
叶媛媛 1张伟 1王昌峰1
作者信息
- 1. 湖北省黄冈市中心医院呼吸内科 438000
- 折叠
摘要
Abstract
Objective To observe the effect of synchronized intermittent mandatory ventilation (SIMV) com-bined with pressure support(PS) in chronic obstructive pulmonary disease(COPD) .Methods 92 cases of patients with COPD were randomly divided into two groups .Two groups of patients were given infection therapy ,the primary disease therapy ,nutritional therapy and other conventional therapy .The control group(42 cases) underwent SIMV , the observation group(50 cases) underwent SIMV + PS .Results The difference of two groups of respiratory rate , tidal volume ,minute ventilation ,peak inspiratory pressure(PIP) ,arterial carbon dioxide partial pressure(PaCO2 ) ,ar-terial oxygen pressure (PaO2 ) ,arterial oxygen saturation (SaO2 ) ,pH value was not statistically significant ( P>0 .05) .Total ventilation time ,ICU stay and offline time in observation group was (13 ± 9)d ,(15 ± 10)d ,(60 ± 5)h , significantly shorter than those of the control group of (21 ± 11)d ,(22 ± 8)d ,(73 ± 8)h (P< 0 .05) .Observation group offline success rate was 92 .0% ,significantly higher than the 73 .8% in control group(P<0 .05) .Conclusion SIMV + PS ventilation mode can accelerate offline ,reducing COPD patients on ventilator dependency ,which will help the patient a speedy recovery .关键词
同步间歇指令通气/压力支持/慢性阻塞性肺病Key words
synchronized intermittent mandatory ventilation/pressure support/chronic obstructive pul-monary disease引用本文复制引用
叶媛媛,张伟,王昌峰..同步间歇指令通气辅以压力支持对慢性阻塞性肺疾病的疗效研究[J].检验医学与临床,2014,(11):1476-1477,1479,3.
