生命科学仪器2024，Vol.22Issue(1)：71-73,3.DOI:10.11967/2024220223
基于肺超声评分评估驱动压导向呼气末正压个体化动态滴定对老年腹腔镜结直肠癌根治术患者术后肺不张的影响
倪亚平 1陈熠 1吴一帆 1魏磊 1苏惠斌 1杨昌建1
作者信息
- 1. 南京医科大学附属苏州医院/苏州市立医院麻醉科,江苏苏州 215000
- 折叠
摘要
Abstract
Objective:To investigate the application effect of individualized dynamic titration of positive end-expira-tory pressure(PEEP)guided by lung ultrasound in elderly patients undergoing laparoscopic radical resection of colo-rectal cancer,and to evaluate the occurrence of atelectasis by lung ultrasound score.Methods:According to the dif-ferent PEEP titration,60 elderly patients who underwent laparoscopic radical resection of colorectal cancer in our hospital from April 2021 to April 2023 were divided into control group(n=30)with fixed PEEP of 5cmH2O and ex-perimental group(n=30)with individualized dynamic PEEP guided by driving pressure.The lung ultrasound score,the number of atelectasis,ventilation mechanics and lung injury were compared.Results:Before extubation and 30 min after extubation,the lung ultrasound scores of the two groups were higher than before anesthesia,the experimental group was lower than control group(P＜0.05).The incidence of atelectasis in the experimental group was lower than control group(P＜0.05).At 30 min after PEEP and at the end of operation,the driving pressure and Clara cell protein 16 in the two groups were higher than 5 min after intubation,the experimental group was low-er than control group(P＜0.05).Conclusion:The individualized dynamic titration of PEEP guided by driving pres-sure can reduce lung injury,improve intraoperative ventilation mechanics,and reduce the incidence of lung ultra-sound score and atelectasis in elderly patients undergoing laparoscopic radical resection of colorectal cancer.关键词
驱动压/呼气末正压/个体化滴定/腹腔镜结直肠癌根治术/肺不张Key words
Driving pressure/Positive end-expiratory pressure/Individualized titration/Laparoscopic radical resec-tion of colorectal cancer/Pulmonary atelectasis分类
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倪亚平,陈熠,吴一帆,魏磊,苏惠斌,杨昌建..基于肺超声评分评估驱动压导向呼气末正压个体化动态滴定对老年腹腔镜结直肠癌根治术患者术后肺不张的影响[J].生命科学仪器,2024,22(1):71-73,3.
