小潮气量对慢性阻塞性肺病机械通气的影响  

Influence of low tidal volume on mechanical ventilation for patients with chronic obstructive pulmonary disease

作　　者：王丽丹[1] 

机构地区：[1]大连大学附属中山医院MICU,辽宁大连116001

出　　处：《临床肺科杂志》2014年第4期641-643,共3页Journal of Clinical Pulmonary Medicine

摘　　要：目的 探讨小潮气量对慢性阻塞性肺病（COPD）机械通气的影响.方法 将2010年10月~2012年10月入住我院的100例COPD患者按照抽签法随机地均分为对照组与观察组,分别给予常规潮气量通气与小潮气量通气治疗,比较两组机械通气前后动脉血气指标、静脉血中细胞因子变化、以及随访结果.结果 两组患者在接受治疗后,相关指标均得到了一定的改善,观察组患者的治疗效果明显优于对照组（P〈0.05）.结论 小潮气量通气治疗慢性阻塞性肺病患者,动脉血气指标、静脉血中细胞因子、预后随访结果均出现明显变化,患者肺功能状况明显改善,应加强推广并应用.Objective To investigate the effect of low tidal volume on mechanical ventilation for COPD patients. Methods 100 COPD patients were randomly divided into the control group and the observation group, which were given the conventional tidal volume ventilation and low tidal volume ventilation treatment respectively. The arterial blood gas index, venous blood of cytokines and follow-up outcome were compared between the two groups. Results All patients were improved in the two groups after the treatment, and the improvement was more pronounced in the observation group than in the control group （P〈0.05）. Conclusion Low tide volume ventilation can obviously improve arterial blood gas index, venous blood of cytokines, lung function and their prognosis.

关 键 词：小潮气量 慢性阻塞性肺疾病(COPD) 机械通气 

分 类 号：R563.9[医药卫生—呼吸系统]