嗅花位对无创机械通气患者腹内压的影响  

作　　者：陈艳飞 翁宇红 应晓梅 周方 岑沈燕 沈华春[2] 

机构地区：[1]浙江省宁波市镇海区龙赛医院呼吸内科,315200 [2]浙江省宁波市第二医院麻醉科,315010

出　　处：《浙江临床医学》2017年第8期1539-1540,共2页Zhejiang Clinical Medical Journal

摘　　要：目的 探讨嗅花位对无创机械通气患者腹内压（IAP）的影响.方法 选择拟接受无创机械通气治疗的慢性阻塞性肺疾病急性加重（AECOPD）患者60例,采用随机数字表法分为常规头位组（C组）和嗅花位组（S组）,每组各30例.于无创机械通气前（T0）、无创机械通气后24h（T1）、无创机械通气后48h（T2）和无创机械通气后72h（T3）测量IAP和CSA.结果 与T0时比较,两组患者T1-3时CSA和IAP均增高,差异有统计学意义（P〈0.05）;与C组比较,S组T1-3时CSA和IAP均降低,差异有统计学意义（P〈0.05）.结论 嗅花位应用于无创机械通气时能降低患者的腹内压.Objective To investigate effect of sniffing position on intra-abdominal pressure in patients with noninvasive positive pressure ventilation. Methods Sixty patients with AECOPD were selected and randomly divided into 2 groups（n=30 each）： control group（group C） and sniffing position group（group S）. Then measure intra-abdominal pressure and cross-sectional antral area（CSA）before mechanical ventilation （T0）,after mechanical ventilation 24h（T1）,mechanical ventilation 48h（T2）,mechanical ventilation 72h（T3）. Results Compared with T0,CSA and IAP were increased at T1-3 in the two groups（P〈0.05）. Compared with group C,CSA and IAP were decreased at T1-3 in group S （P〈0.05）. Conclusion Sniffing position can decrease IAP in patients with noninvasive positive pressure ventilation.

关 键 词：嗅花位 慢性阻塞性肺疾病 急性加重 无创机械通气 腹内压 

分 类 号：R472.9[医药卫生—护理学]