本文關(guān)鍵詞： 機械通氣模式 呼吸機相關(guān)性膈肌功能障礙　出處：《實用醫(yī)學(xué)雜志》2017年02期 　論文類型：期刊論文

【摘要】：目的:比較不同機械通氣模式對呼吸機相關(guān)性膈肌功能障礙(VIDD)的影響。方法:收集筆者所在ICU中接受有創(chuàng)機械通氣的下腹部外科術(shù)后患者,按通氣模式進行分組,并對結(jié)果進行分析。再按脫機結(jié)果分為2組,以脫機是否成功為因變量,以有統(tǒng)計學(xué)意義的臨床指標(biāo)為自變量,用Logistic回歸分析對呼吸機撤機的影響。結(jié)果:不同通氣模式組間比較,A/C模式組的機械通氣時間、48 h重新插管率、ICU滯留時間顯著高于SIMV模式組和PSV模式組,脫機成功率顯著低于SIMV模式組和PSV模式組,差異有統(tǒng)計學(xué)意義(P0.05)。脫機成功組的3種通氣模式比例和脫機失敗組比較,差異有統(tǒng)計學(xué)意義(P0.05)。以脫機情況為因變量,以APACHEⅡ評分、ALB、通氣模式等3項指標(biāo)為自變量,采用Logistic回歸分析的進入法進行分析。APACHEⅡ評分、通氣模式是脫機成功與否的獨立影響因素。結(jié)論:SIMV模式和PSV模式較A/C模式在下腹部外科術(shù)后患者機械通氣過程中VIDD影響更小,撤機成功率更高。SIMV模式和PSV模式對撤機影響無明顯差異。
[Abstract]:Objective: to compare the effects of different mechanical ventilation modes on VIDD in patients with ventilator associated diaphragmatic dysfunction. Methods: patients undergoing invasive mechanical ventilation after lower abdominal surgery in our ICU were divided into groups according to ventilation mode. The results were analyzed and divided into two groups according to the results of weaning. The success of weaning was regarded as dependent variable and the clinical index with statistical significance as independent variable. Results: the mechanical ventilation time and re-intubation rate of A- / C model group were significantly higher than those of SIMV model group and PSV model group. The success rate of weaning was significantly lower than that of SIMV mode and PSV mode group, and the difference was statistically significant (P 0.05). The proportion of three ventilation modes in the successful weaning group and the failure group were significantly lower than those in the offline failure group. Using APACHE 鈪，

本文編號：1552172