呼气末正压通气在急性呼吸窘迫综合征治疗中的作用  

The Treatment of PEEP in Acute respiratory distress syndrome

作　　者：林敏[1] 谢家泰[1] 吴丽霞[1] 李梅岚[1] 

机构地区：[1]福建医科大学附属三明第一医院综合内科,福建三明365000

出　　处：《医学信息（中旬刊）》2011年第8期3928-3929,共2页Medical Information Operations Sciences Fascicule

摘　　要：目的:评价呼气末正压通气(PEEP)治疗不同病因导致的急性呼吸窘迫综合征(ARDS)的价值。方法:45例ARDS患者,分为原发性肺损伤组20例和继发性肺损伤组25例。比较两组间的APACHEⅡ分值,PEEP治疗前后动脉血PH值、氧合指数(Pa02/Fi02)、呼吸频率(RR)。结果:两组治疗前与治疗2小时后的Pa02/Fi02、呼吸频率均有显着差异,两组间的APACHEⅡ分值无显着差异。结论:呼气末正压通气治疗急性呼吸窘迫综合征安全、有效。Objective：To evaluate the therapeutic effect of positive end expiratory pressure（PEEP） in trcating acute respiratory distress syndrome（ARDS） caused by various factors.Methods：The total of 45 patients were divided in two groups：primary long injury group（20 cases） and secondary lung injury group（25 cases）.The APACHEⅡ score between two groups,artery blood PⅡ,oxygenation index（Pa02/Fi02）,repiratory rate before and after PEEP in the two grous were compared.Results：There were sig-nificantly diffcrcnccs in Pa02/Fi02,repiratory rate before and after 2h of PEEP in the two groups,and no significantly difference in APACHEⅡ seores was observed between two groups.Conelusion：PEEP is a safe and effective method in the treatment of ARDS.

关 键 词：呼气末正压通 急性呼吸窘迫综合征 氧合指数 

分 类 号：R563.8[医药卫生—呼吸系统]