浅快呼吸指数和气道闭合压作为慢性阻塞性肺疾病患者撤机指标的临床研究  

Clinical Study of Rapid-shallow-breathing Index and Airway Occlusion Pressure as Weaning Predictors in Mechanical Ventilated Patients with Chronic Obstructive Pulmonary Disease

作　　者：谭英强 

机构地区：[1]广东省台山市人民医院,529200

出　　处：《中国医药指南》2008年第17期25-26,共2页Guide of China Medicine

摘　　要：目的研究浅快呼吸指数(RVR)和气道闭合压(P0.1)对慢性阻塞性肺疾病机械通气患者撤机的指导意义.方法对长期机械通气的96例COPD患者进行撤机,根据撤机成败判定标准分为撤机成功组(65例)和撤机失败组(31例),对两组撤机参数进行对比分析.结果撤机成功组患者的呼吸浅快指数、气道闭合压、急性生理与慢性健康状况(APACHEⅡ)评分分别为(91±22)bpm/L、(0.23±0.06)kPa、(15.6±4.4)分.撤机失败组相应数据分别为(120±23)bpm/L、(0.47±0.08)kPa、(17.7±5.1)分.两组结果比较,呼吸浅快指数、气道闭合压差异有统计学意义(P<0.05)。结论呼吸浅快指数、气道闭合压对COPD机械通气病人的撤机有一定指导意义。Objective To evaluate the significance of rapid-shallow-breathing index(RVR) and airway occlusion pressure(P0.1) as a weaning predictor in mechanical ventilation patients with chronic obstructive pulmonary disease (COPD).Method In 96 COPD patients who met the clinical weaning were divided into two groups.65 patients in group A were successful in weaning,however 31 patients in group B failed in weaning,multi predictors were monitored and measured respectively.Result In sucessful group, RVR was (91±22)bpm/L,P0.1 was (0.23±0.06)kPa and APACHEⅡwas (15.6±4.4).In failed group were(120±23)bpm/ L,(0.47±0.08) kPa,(17.7±5.1).There were significant difference in RVR and P0.1(P<0.05).Conclusion Rapid-shallow- breathing index and airway occlusion pressure were two valuable predictor for the patients with COPD to wean from mechanical ventilation.

关 键 词：慢性阻塞性肺疾病 浅快呼吸指数 气道闭合压 呼吸机撤离 

分 类 号：R563[医药卫生—呼吸系统]