肺呼吸功能监测在围术期机械通气中的应用进展  

Pulmonary respiratory function monitoring in preoperative mechanical ventilation

作　　者：孙聪 钟毅[1] 王玲[1] 刘光森 单热爱[2,3,4] SUN Cong;ZHONG Yi;WANG Ling;LIU Guang-sen;SHAN Re-ai(Postgraduate students of Grade 2020,Gannan Medical University;Postgraduate students of Grade 2021,Gannan Medical University;Department of Anesthesiology,The First Affiliated Hospital of Gannan Medical University;Institute of Pain Medicine,Gannan Medical University;Ganzhou Key Laboratory of Anesthesiology,Ganzhou,Jiangxi 341000)

机构地区：[1]赣南医学院 [2]赣南医学院第一附属医院麻醉手术中心 [3]赣南医学院疼痛医学研究所 [4]赣州市麻醉学重点实验室,江西赣州341000

出　　处：《赣南医学院学报》2023年第1期94-99,共6页JOURNAL OF GANNAN MEDICAL UNIVERSITY

基　　金：赣南医学院第一附属医院科技计划项目(YJYB202132)。

摘　　要：围术期机械通气诱发的呼吸机相关肺损伤是机械通气的严重并发症,是导致术后肺功能不全的重要因素,也越来越受到麻醉医生的重视。肺呼吸功能监测能及时准确发现围术期肺损伤,指导肺保护策略的实施。随着各种检测技术和仪器的发展,肺呼吸功能监测除临床常用的血气分析外,还衍生出更有借鉴意义的肺部超声、电阻抗成像技术、食管测压、综合肺指数监测、无创呼吸量监测、无创连续呼吸监测等方法。这些方法各有利弊,本文就肺呼吸功能监测临床应用进展及优缺点进行综述,旨在为临床提供参考。Ventilation-induced lung injury is a serious complication of mechanical ventilation and an important factor leading to postoperative pulmonary insufficiency,which is increasingly valued by anesthesiologists.Pulmonary respiratory function monitoring can accurate detect preoperative lung injury timely and guide the implementation of lung protection strategies.With the development of various testing techniques and instruments,pulmonary respiratory function monitoring has derived more informative methods such as lung ultrasound,electrical impedance tomography,esophageal manometry,integrated pulmonary index,non-invasive respiratory volume monitor,and non-invasive continuous respiratory monitoring,in addition to blood gas analysis commonly used in clinical practice.Each of these methods has its own advantages and disadvantages.This article reviews the clinical application progress,advantages and disadvantages of pulmonary respiratory function monitoring,aiming to provide clinical reference.

关 键 词：肺呼吸功能监测 机械通气 食管测压 电阻抗成像技术 肺部超声 

分 类 号：R614.27[医药卫生—麻醉学]