河北医学2017，Vol.23Issue(2)：240-243,4.DOI:10.3969/j.issn.1006-6233.2017.02.020
小潮气量结合低水平呼气末气道正压在软镜肾脏碎石中的应用
The Application of Low Tidal Volume Combined with Low Levels Expiratory Positive Airway Pressure to Soft Lenses Kidney Gravel
摘要
Abstract
Objective: To investigate the application value of the low tidal volume combined with low levels expiratory positive airway pressure to soft lenses kidney gravel. Methods:80 cases were divided into two groups, with 40 cases in each group. In breath control, low tidal volume combined with low levels expiratory positive airway pressure was used in the observation group, while blot's breathing treatment was used in the control group, 30min after the intervention, the blood gas analysis, TNF-a, IL-6 and CRP levels as well as procedure-related indicators in the two groups were compared. Results:30min after the intervention, pH level in the observation group was lower than that in the control group(P<0.05), PCO2 level in the observation group was lower than that in the control group( P<0.05) . After the surgery, TNF-a, IL-6 and CRP level in the observation group were significantly lower than those in the control group( P<0.05) , The operative time of the observation group was shorter than that of the control group( P<0.05) , the number of cases of respiratory and failure proportion of soft lenses treatment in the observation group were lower than those in the control group( P<0.05) . Conclusion:The low tidal volume combined with low levels expiratory positive airway pres-sure for soft lenses kidney gravel can maintain normal blood gas analysis, can significantly reduce the influence of surgery, anesthesia stress on patients, which is conductive to the surgical procedure.关键词
小潮气量/低水平呼气末气道正压/软镜/碎石Key words
Low tidal volume/Low expiratory positive airway pressure/Soft lenses/Gravel引用本文复制引用
聂晓枫,王增利..小潮气量结合低水平呼气末气道正压在软镜肾脏碎石中的应用[J].河北医学,2017,23(2):240-243,4.基金项目
陕西省科技计划项目,(编号:2012004) （编号:2012004）
