慢性阻塞性肺疾病患者术后短期机械通气的临床研究  

Mechanical ventilation for patients with chronic obstructive pulmonary disease in a short period of time after upper abdominal and thoracic surgery

作　　者：胡新华[1] 余荣环[1] 张媛园[1] 王玲[1] 

机构地区：[1]上海市徐汇区中心医院,200031

出　　处：《重庆医学》2010年第1期62-63,共2页Chongqing medicine

摘　　要：目的观察术后短期机械通气对伴中、重度呼吸功能不全慢性阻塞性肺疾病(COPD)患者的影响。方法26例择期行上腹部和胸腔手术伴中、重度呼吸功能不全COPD患者随机分成对照组和观察组,比较两组血气指标、术后呼吸衰竭(PRF)及再插管率等。结果观察组术后血气指标优于对照组。对照组5例需再插管,观察组术后48h内均成功脱机,无1例需再插管。结论术后短期预防性机械通气对伴中、重度呼吸功能不全COPD患者可显著改善呼吸状况及气体交换,降低PRF及再插管率,缩短住院时间。Objective To evaluate the effect of mechanical ventilation（MV） in the patients with moderate to severe chronic obstructive pulmonary disease（COPD） in a short period of time after surgery. Methods Twenty six patients,after upper abdominal or thoracic surgery who suffered from COPD and moderate to severe respiratory insufficiency, were randomly divided into experimental group and control group. We observed the change of the parameters of arterial blood gas, postoperative respiratory failure（PRF） and re-intubation rates between the two groups. Results Five patients in control group needed to re-intubation with MV. All patients in experimental group both suceessed from the ventilator in the 48h and none needed to re-intubation. Conclusion Preventive applica- tion of MV in a short period of time after surgery can significantly improve the respiratory function and gas exchange of the patients with moderate to severe COPD,and significantly reduce the incidence of PRF and re-intubation rates, shorten the hospital staying time.

关 键 词：慢性阻塞性肺疾病 呼吸衰竭 机械通气 

分 类 号：R655[医药卫生—外科学]