脉冲振荡法与肺通气功能在外科手术中的对比研究  

The clinical application of impulse oscillometry and pulmonary ventilation function in surgical patients before operation

作　　者：叶江枫[1] 于莉莉[2] 孙巍[3] 袁名辉[1] 蒙育林[1] 

机构地区：[1]解放军188医院内二科,广东潮州521011 [2]济南军区总医院信息科,山东济南250000 [3]兰州军区乌鲁木齐总医院,新疆乌鲁木齐830000

出　　处：《中国当代医药》2012年第21期63-64,共2页China Modern Medicine

摘　　要：目的探讨脉冲振荡法和肺通气功能在外科术前的临床应用。方法选择100例外科术前患者与正常对照者100例行常规肺通气功能及脉冲振荡法检测,观察VC、FVC、FEV1%、FEV1/FVC、VMAX、MVV;Fres、Zrs、R5、R20、R35、X5、Rc、Rp。结果手术前常规肺通气功能检测指标在正常范围。仅MVV轻度减损(75.35±20.50)。VC、FVC、FEV1%、FEV1/FVC、VMAX与正常组比较,差异有高度统计学意义(P<0.01)。说明预手术患者肺通气功能无明显障碍,完全能耐受麻醉与手术风险。但与正常组存在明显差异。Zrs、R5、R20、R35、X5、Rc、Rp外科组指标明显异常,与对照组差异有高度统计学意义(P<0.01),说明需要外科手术患者总气道黏性阻力(Zrs)异常、周边及中心气道黏性阻力升高(R35、Rp、Rc异常),周边弹性阻力升高(X5异常)。结论脉冲振荡肺功能测定比常规肺通气功能在外科患者更敏感。总气道黏性阻力、周边及中心气道黏性阻力、周边弹性阻力在外科患者术前升高。Objective To explore the clinical application of impulse oscillometry in surgical operations.Methods Compared the parameters of pulmonary ventilation function and impulse oscillometry in 100 surgical patients before operation with 100 healthy adults,VC,FVC,FEV1%,FEV1/FVC,VMAX,MVV;Fres,Zrs,R5,R20,R35,X5,Rc,Rp were ob served.Results Datas of ventilation function were normal in surgical patients before operation,but MVV decreased slightly （75.35±20.50）.Compared with control group,VC,FVC 、FEV1%,FEV1/FVC,VMAX were different （P 0.01）.There were normal pulmonary ventilation function in surgical patients before operation,which could experience risk of operation..There were significant differences compared with healthy adults.The Zrs,R5,R20,R35,X5,Rc,Rp in surgical group was obvi ously abnormal,compared with control group,there were statistically significant differences （P 0.01）.It declared that respiratory impedance （Zrs）,center and peripheral viscosity resistance （R35,Rp,Rc）,peripheral flexible resistance （X5） raise obviously before operation.Conclution IOS is more sensitive than pulmonary ventilation in surgical patients.Respiratory impedance （Zrs）,center and peripheral viscosity resistance（R35,Rp,Rc）,peripheral flexible resistance（X5） raise before operation.

关 键 词：肺通气功能 脉冲振荡法 外科患者 手术 

分 类 号：R619[医药卫生—外科学]