单肺通气肺保护在肺结核纤维板剥脱术中的临床价值  

The Clinical Value of Lung Protection for One-lung Ventilation in Tuberculosis Patients Underwent Stripped Pleural Fibreboard

作　　者：赵淑芳[1] 张磊[1] 高玉玲[1] 黄中梅[1] 

机构地区：[1]河南省郑州市第六人民医院麻醉科,450005

出　　处：《中国继续医学教育》2015年第33期70-72,共3页China Continuing Medical Education

摘　　要：目的探究与分析肺结核纤维板剥脱术中患者肺通气保护的临床应用。方法选取2013年5月~2015年5月在我院进行肺结核纤维板剥脱术患者120例,将2013年5月~2014年5月收治的患者为对照组,2014年6月~2015年5月收治的患者为观察组,每组患者均为60例。对照组采取常规肺通气保护,观察组选择在常规肺通气保护基础上,在术中每小时定时30 min实行双肺正压通气,氧流量1.5 L/min,进行肺通气保护,观察并比较两组患者术后并发症情况及血气分析结果。结果术中采用每小时定时30 min实行双肺正压通气,氧流量1.5 L/min,进行肺通气保护的患者,术后并发肺不张、肺顺应性降低、VA/Q比值失调的发生率明显较低,低氧血症,高碳酸血症患者发生率均较低,P〈0.05,差异具有统计学意义。结论肺结核纤维板剥脱术患者术中加强肺通气保护,取得的临床效果较好。Objective To analyze the clinical application of intraoperative lung ventilation for lung protection in tuberculosis patients who underwent stripped pleural fibreboard. Methods Chose 120 tuberculosis patients who underwent stripped pleural fibreboard from May 2013 to May 2015 in our hospital, took patients from May 2013 to May 2014 as control group, took patients from June 2014 to May 2015 as observation group, each group had 60 cases. Control group adopted routine pulmonary ventilation protection, on the basis of routine pulmonary ventilation protection, observation group was used double lung positive pressure ventilation 30 minutes per hour, oxygen flow rate was 1.5 L/min for pulmonary ventilation protection, observed and compared postoperative complications and blood gas analysis results in two groups. Results The patients who were used double lung positive pressure ventilation 30 minutes per hour which oxygen flow rate was 1.5 L/min, the incidences of postoperative concurrent atelectasis, pulmonary compliance, VA/Q ratio imbalance and hypoxemia were lower, there was significantly difference（P0.05）. Conclusion There is great effect for tuberculosis patients who underwent stripped pleural fibreboard to use intraoperative lung ventilation for lung protection.

关 键 词：肺结核 纤维板剥脱术 肺通气保护 单肺通气 

分 类 号：R521[医药卫生—内科学]