压力控制容量保证通气模式对全麻患者呼吸力学的影响.pdfVIP

临床麻醉学杂志 2014 年 4 月第 30 卷第 4 期 J Clin Anesthesiol , April 2014, Vol. 30 ,No. 4 ? 377 ? ·临床研究 · 压力控制容量保证通气模式对全麻患者呼吸 力学的影响 江飞金孝J，é 刘灿杨帆何艳， E捕要】 目的 观察压力控制容量保证(PC-VG)通气模式对全麻患者呼吸力学的影响。方 法 择期行平卧位下腹部和盆腔剖腹手术全麻患者 40 例，随机分为两组，分别采用 PC-VG模式(P 组)和容量控制通气(VCV)模式(V 组〉行机械通气。记录气管插管后 5 min(To ) 、 15 min(T}) 、 30 min(T2 ) 、 60 min(T3 ) 、 120 min(飞)气道峰压(Ppeak) 、气道平均压(Pmωn) 、气道平台压(Pplant)及 肺顺应性(CL )和气道阻力(Raw)。结果 与 To 时比较， TI ~飞时 V 组中 Ppeak、 Pmean、 Pplant、 Raw 明显升高(P0.05 或 PO.O口，两组 C. 均明显降低(PO. 01), P 组 Raw 明显升高(P 0.05) 。与 V组比较， P组 TI~瓦时 Ppeak、 Pplant 明显降低(PO.O日， T. 时 P组 CL 明显升高(P 0.0日。结论 PC-VG模式对全麻患者呼吸力学影响较小。 E关键词】 机械通气;呼吸力学;静脉全麻 Effect of PC-VGventilation mode on respira阳γ 巾wnics in pat阳ts under酬吨 general anestbesia J/ANG Fei , JIN Xiao-ju , LlU Can , Y ANG Fan , HE Yan. Department of Anesthesiology , Yijishan Hωpi时 ， Wannan Medical 臼llege. Wuhu 241α刀 ? China Corresponding author: JIN xi郎。ju ， Email :jinxj@l创 .com 【At路缸1lct】 Objective To observe the effect of pressure control with volume guarantee( P(二，-VG) ventilation mode on respiratory dynamics in patients with general anesthesia. MetlM路 Forty patients scheduled for elective lower abdomen and pelvic laparotomy with supine position were selected and randomlyallocated into two groups ventilated with PC-VG and volume control ventilation (VCV) mode. respectively. Peak airway pressure CPpeak). mean airway pressure (Pmean). airway plateau pressure (Pplant). lung compliance (C1.) , and airway resistance (Raw) at 5 min before intubation (To). 15 min (TI) , 30 min (T2 ) , 60 min (T3 ) , and 120 min (T，ρafter intubation were recorded. Results Compared with To ? Ppeak Pmean. Pplant in group V increased significantly at T1-T. (P 0.05 or PO. 0口，CL decreased (PO.01) and Raw increased (PO. 05) in both groups at T1 -T.. Ppeak and Pplant at T} -T ‘ was lower (P O. 05) and CI. value at 1.‘ was higher PO. 05) than that of group V. Conclusion PC-VG mode may have minor influence on respiratory dynamics in patients with general anesthesia. [