PCV-VG和VCV模式对腹腔镜手术患者肺顺应性的影响  

Effect of PCV-VG and VCV modes on lung compliance in patients undergoing laparoscopic surgery

作　　者：黄剑 蔡荔琳 HUANG Jian;CAI Liin(Department of Anesthesiology,Pucheng County Hospital,Pucheng 353400,China)

机构地区：[1]福建省浦城县医院麻醉科,浦城353400

出　　处：《上海医药》2024年第21期38-40,67,共4页Shanghai Medical & Pharmaceutical Journal

摘　　要：目的:探析压力控制容量保证(PCV-VG)模式与容量控制(VCV)模式对腹腔镜手术患者的应用价值。方法:将90例腹腔镜手术患者以掷硬币法分为A组(n=45)和B组(n=45),A组行VCV,B组行PCV-VG,比较2组血流动力学、动态肺顺应性、临床指标和并发症发生情况。结果:2组MAP在T2、T3、T4时点时均低于T1、T5时点(P<0.05);2组T3动态肺顺应性低于T2、T4,B组各时点均高于A组(P<0.05);2组各时间点的心率、拔管时间及并发症发生率比较差异均无统计学意义;B组术后住院时间短于A组(P<0.05)。结论:PCV-VG和VCV对腹腔镜手术患者血流动力学的影响一致,PCV-VG更有助于改善肺顺应性,促进术后恢复。Objective:To investigate the application value of pressure-controlled ventilation-volume guaranteed(PCV-VG)mode versus volume-controlled(VCV)mode for patients undergoing laparoscopic surgery.Methods:Ninety cases of the patients were divided into group A(n=45)and group B(n=45)by coin tossing method,group A underwent VCV and group B underwent PCV-VG,and hemodynamics,dynamic lung compliance,clinical indexes and the incidence of complications were compared between the two groups.Results:Mean arterial pressure(MAP)of the two groups was all lower at the time points of T2,T3,and T4 than that of T1 and T5(P<0.05).The dynamic pulmonary compliance was lower at T3 than at T2 and T4 and was higher in group B than group A at all the time points(P<0.05).There were no statistically significant differences in heart rate at all the time points,the time for extubation and the incidence of complications between the two groups.The time for postoperative hospitalization of group B was shorter than that of group A(P<0.05).Conclusion:The hemodynamic effects of PCV-VG and VCV on laparoscopic surgery patients were consistent,and PCV-VG is more helpful in improving pulmonary compliance and promoting postoperative recovery.

关 键 词：压力控制容量保证模式 容量控制模式 腹腔镜手术 肺顺应性 

分 类 号：R614.2[医药卫生—麻醉学]