本文選題：肥胖　切入點(diǎn)：氧合指數(shù)　出處：《石河子大學(xué)》2015年碩士論文　論文類(lèi)型：學(xué)位論文

【摘要】：目的:比較肥胖病人全麻分別應(yīng)用PCV和VCV通氣模式,對(duì)動(dòng)脈氧合的影響。方法:選擇40例全麻手術(shù)的肥胖患者,隨機(jī)分為壓力控制通氣組(PCV)和容量控制通氣組(VCV),每組20例。呼氣末二氧化碳分壓維持在35-45mm Hg之間。術(shù)前30分鐘(T0),手術(shù)開(kāi)始30分鐘(T1),手術(shù)開(kāi)始60分鐘(T2),手術(shù)結(jié)束(T3)拔管后30分鐘(T4),進(jìn)行血?dú)夥治�。監(jiān)測(cè)和計(jì)算血流動(dòng)力學(xué)指標(biāo)。結(jié)果:1、兩組病人一般情況差別無(wú)統(tǒng)計(jì)學(xué)意義(p0.05)2、與VCV組比較,PCV組的Pa O2、OI在T1、T2、T3均高于VCV組(p0.05)。結(jié)論:和VCV比較,PCV在肥胖患者的麻醉中改善通氣血流比例,促進(jìn)氣體交換。
[Abstract]:Objective: to compare the effects of PCV and VCV ventilation modes on arterial oxygenation in obese patients under general anesthesia. They were randomly divided into pressure control ventilation group (PCV) and volume controlled ventilation group (VCVV), 20 cases in each group. The end expiratory partial pressure of carbon dioxide was kept between 35 and 45 mm Hg. 30 minutes before operation, 30 minutes before operation, 30 minutes before operation, 30 minutes before operation, 60 minutes after operation, T2 was given, and the operation ended with T3. 30 minutes after extubation, blood gas was analyzed, blood gas was monitored and hemodynamic indexes were calculated. Results: there was no significant difference in general conditions between the two groups (P 0.05). Compared with VCV group, Pa O _ 2O _ (2) O _ (2) O _ (2) O _ (2) I in T _ (1) T _ (2) T _ (2) T _ (3) was higher than that in VCV group (P 0.05). Conclusion:. To compare the effect of PCV on improving the ventilatory blood flow ratio in obese patients during anesthesia. Promote gas exchange.
【學(xué)位授予單位】：石河子大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類(lèi)號(hào)】：R614

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相關(guān)期刊論文 前10條

1 小荻;肥胖病人更易死于創(chuàng)傷[J];科學(xué)之友;2004年11期

2 湯s，

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