预防性机械通气联合镇静镇痛对术后肺部并发症高危患者的影响  

Effect of Prophylactic Mechanical Ventilation and Analgesia on Patients with High Risk Postoperative Pulmonary Complications

作　　者：付黎明[1] 彭艳玲[1] 陈叶柔[1] 辛可可[1] 葛建琳[1] 李兰香[1] 

机构地区：[1]洛阳市中心医院,河南洛阳471009

出　　处：《河南科技大学学报（医学版）》2010年第4期262-263,共2页Journal of Henan University of Science & Technology:Medical Science

摘　　要：目的探讨预防性机械通气联合镇静镇痛对术后肺部并发症(PPC)高危患者的影响。方法将上腹部及剖胸术后PPC高危患者214例分为治疗组(预防性机械通气联合镇静镇痛组)和对照组,对两组PPC发生率,术后24 h APACHEⅡ评分进行分析。结果治疗组PPC发生率及术后24 h APACHEⅡ评分较对照组均降低,有统计学意义(P<0.05)。结论预防性机械通气联合镇静镇痛可通过降低术后肺部并发症发生率及术后24 hAPACHEⅡ评分,改善PPC高危患者肺功能及预后。Objective To investigate the effects of prophylactic mechanical ventilation and analgesia or sedation on the patients with high risk postoperative pulmonary complications（PPC）. Methods A total of 214 patients of high risk postoperative pulmonary complications after epigastic or dissect breast operation were divided into therapy group（prophylactic mechanical ventilation and analgesia or sedation） and control group,the incidence rate of PPC and the score of postoperative 24 h APACHEⅡ of the two groups were analyzed.Results Compared with control group,the incidence rate of PPC and score of postoperative 24 h APACHEⅡ decreased in therapy group（P〈0.05）. Conclusion Prophylactic mechanical ventilation and analgesia or sedation can improve pulmonary function of the patients with high risk PPC and prognosis,and cut down the incidence rate of PPC and score of postoperative 24 h APACHEⅡ.

关 键 词：预防性机械通气 镇静镇痛 术后肺部并发症 高危患者 

分 类 号：R459.7[医药卫生—急诊医学]