压力调节容量控制通气治疗慢性阻塞性肺疾病急性加重期呼吸衰竭疗效分析  

Analysis for effectiveness of PRVC and VC (A/C) on respiratory failure of AECOPD patients

作　　者：杨阳[1] 邹俊[1] 张静[1] 

机构地区：[1]四川省人民医院呼吸内科,四川成都610072

出　　处：《实用医院临床杂志》2007年第1期36-37,共2页Practical Journal of Clinical Medicine

摘　　要：目的探讨慢性阻塞性肺疾病急性加重期(AECOPD)患者呼吸衰竭时初始采用压力调节容量控制通气(PRVC)治疗的疗效。方法将10例并发呼吸衰竭需行机械通气治疗的AECOPD患者分为试验组5例以PRVC进行治疗,对照组5例以容量控制(VC)的辅助/控制通气(A/C)治疗,分别于机械通气治疗1、2、4小时观察两组pH、PaO2、PaCO2的变化。结果试验组pH、PaO2、PaCO2的改善明显低于对照组(P<0.05)。结论AECOPD患者呼吸衰竭行机械通气治疗时初始采用PRVC模式疗效不及VC(A/C)模式。Objective To study the effectiveness of pressure regulation volume control （ PRVC） ventilation on respiratory failure of acute exacerbation of chronic obstructive pulmonary disease （ AECOPD } patients. Methods 10 AECOPD patients with respiratory failure who had to receive mechanical ventilation treatment were divided into two groups randomly, one was experimental group receiving PRVC ventilation, and the other was control group receiving assistant/control （ A/C ） ventilation of volume control （ VC ）. pH, PaO2, and PaCO2 of two groups were measured at 1h, 2h, 4h after mechanical ventilation. Results Compared with the controls, the values of pH, PaO2 , and PaCO2 were less improved in experimental group （ P 〈 0.05 ）. Conclusion The effectiveness of PRVC on respiratory failure of AECOPD patients is not so desirable as VC（A/C）.

关 键 词：慢性阻塞性肺疾病急性加重期 呼吸衰竭 压力调节容量控制通气 容量控制的辅助/控制通气 

分 类 号：R563.3[医药卫生—呼吸系统] R563.8[医药卫生—内科学]