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不同肺复张方法在ARDS患者中的应用效果比较

The comparison on the application effects of different lung recruitment methods in ARDS

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【作者】 马振霆

【Author】 MA Zhenting ICU, Lu′an Mineral Industry Group′s General Hospital of Shanxi Province, Shanxi Province, Lu′an 046204, China

【机构】 山西省潞安矿业集团公司总医院ICU

【摘要】 目的:比较不同肺复张方法在急性呼吸窘迫综合征(acute respiratory distresssyndrome,ARDS)患者中的应用效果。方法:选取2007年1月~2011年4月于本院进行治疗的38例ARDS患者为研究对象,将其随机分为A组(压力控制法组)19例和B组(控制性肺膨胀法组)19例,后将两组患者的治疗前及治疗后5、20min的氧合指数、MAP、CVP、PaO2、SpO2水平进行统计及比较。结果:A组治疗后5、20min的氧合指数、PaO2、SpO2水平均高于B组,P均<0.05,差异均有统计学意义,而MAP、CVP水平比较,P均>0.05,差异均无统计学意义。结论:压力控制法在ARDS患者中的应用效果更具有优势,显效也较快。

【Abstract】 Ojective: To compare the application effects of different lung recruitment methods in acute respiratory distresssyndrome (ARDS). Methods: 38 patients with ARDS in our hospital from January 2007 to April 2011 were selected as research object, and they were randomly divided into group A (pressure control method group) 19 cases and group B (sustained inflation method group) 19 cases, then the oxygenation index, MAP, CVP, PaO2 and SpO2 of two groups before and after the treatment at 5, 20 min were analyzed and compared. Results: The oxygenation index, MAP, CVP of group A after the treatment at 5, 20 min were all higher than those of group B, all P<0.05, there were all significant differences, but MAP, CVP of two groups were compared, all P>0.05, there were not significant differences. Conclusion: The application effects of pressure control method in ARDS has more advantages, effective time is shorter.

  • 【文献出处】 中国当代医药 ,China Modern Medicine , 编辑部邮箱 ,2011年24期
  • 【分类号】R563.8
  • 【被引频次】2
  • 【下载频次】79
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