有创机械通气患者撤机评估指标的研究进展  

Research Progress of Weaning Evaluation Indexes in Patients with Invasive Mechanical Ventilation

作　　者：宋润华 甘桂芬[1] SONG Runhua;GAN Guifen(Department of Critical Care Medicine,Affiliated Hospital of Qinghai University,Xining 810001,China)

机构地区：[1]青海大学附属医院重症医学科,西宁810001

出　　处：《医学综述》2023年第23期5347-5351,共5页Medical Recapitulate

基　　金：青海省科技计划项目(2019-SF-133)。

摘　　要：有创机械通气是危重患者常用的抢救措施,当原发疾病得到改善,大多数患者应尽早脱离机械通气。正确的撤机决策对于改善重症患者预后至关重要。传统的撤机评价指标主要有自主呼吸试验、浅快呼吸指数,随着床旁超声技术在重症监护病房的应用,超声相关撤机指标在指导成功撤机中发挥着越来越重要的作用。最新的研究中,将浅快呼吸指数与超声结合得到新型指标膈肌浅快呼吸指数和膈肌增厚浅快呼吸指数,这两项指标在指导有创机械通气患者成功撤机方面具有重要的价值。随着临床研究不断的发展,新型指标在指导撤机中扮演着越来越重要的角色。Invasive mechanical ventilation is a commonly used life-saving measure for critically ill patients.After improvement of the primary disease,most patients should be taken off mechanical ventilation as soon as possible.Correct weaning decisions are very important for improving prognosis in the severe patients.Traditional weaning evaluation indicators mainly include spontaneous breath test and shallow rapid breathing index.The use of bedside ultrasound technology in the intensive care unit has made ultrasound-related evacuation indexes an increasingly important factor in ensuring a successful weaning.The most recent study utilized a combination of shallow rapid breathing index and ultrasound to obtain new indicators of shallow rapid breathing index of diaphragm and shallow rapid breathing index of diaphragm thickening,both of which hold significant importance in facilitating the successful withdrawal of invasive mechanical ventilation.As the clinical research progresses continuously,the new indicators are playing increasingly important roles in the weaning guidance.

关 键 词：有创机械通气 撤机 传统指标 超声相关指标 新型指标 

分 类 号：R459.7[医药卫生—急诊医学]