容量切换与压力切换两种呼吸切换模式在妇科腹腔镜手术全身麻醉中应用的观察对比.pdfVIP

医学综述双脚年7 月第 15 ~量第 13 期 Medical Recapitulate. JuI 2(脚， Vol.15 ，胁.13 .2049. 容量切换句压力切换两种呼吸切换模式在妇科腹腔镜手术 全身麻醉中应用的观察对比 刘志学，余剑波 (天津陶开阪院麻醉科，天津 3∞1佣) 中图分类号 :R614.2 文献串串识码 :B 文章编寄 :1创始-2084(2侃19) 13-2049~3 摘要:目的 观察妇科腹腔镜手术全身麻醉期间容量切换与压力切换两种呼吸管缀模式对术中 循环和呼吸功能的影响。方法 将ω 例行妇科腹胶镜手术患者随机分为 L 组和 P 组， L 组合麻呼吸 管理采用容最切换模式，P 级会麻呼吸管理采用压力切换模式，观察水中气腹和体优改变后患者呼 吸、循环、血气分析及球给膜的变化情况。结果 L 级气腹后肺顺应性降低，气道峰压、气道阻力、 p附CO2 较气腹和体ti改变前增加(PO.05) 。血压、心事升高 (PO.05)o P 组气腹后肺顺应性降 低、气道阻力增加(P0.05) 。气道峰底、PF.TC02 无明显改变。血压、心 ~~蓝本稳定，与 L 级同时间 点比较差异有统计学意义。 1 组较 P 组球结膜水肿发生感高 (P0.05) 。篇论 在妇科腹腔镜手术 全身麻醉中压力切换模式呼吸管理较容量切换模式有一定优越性。 关键询:妇科手术;气腹，人工;腹腔镜;切换方式 CUnlcal Outcome Compalíson of Volume Controlled Ventllatlon and pn划ure Con衍OlIed Ven创ladoD during GeneraJ Anesth铺ia ror Gynecologi但1 Laparoscopic Operations UU Zhi咀时 ， YU Jian-bo. ( Depa同时nl of Anesthesíology ,NaiKai Hospital of Tianjin , Tia!iin 31∞1∞ ， China 】 Ab脚act: Objective To identify and compare 由e impact on intra-operalive circulalion and respiration of comparison of volume controlled ventilation (VCV) and pres州附 controlled ventilation (PCV) during general anesthesia for gynecologicallaparoscopic operations. Me伽ods Sixty patients who underwent gynec非 logicallaparoscopic surgeries were randomly dividld inlo Group L and Group P. Group L undertook volume controlled ventilation mode in respiratory management , while pressure controlled ventilation mode for Group P. Intro-operative respiratory , circulation , artery blood g嗣 and change of hulbar conjunctiva after intl叫uction of pneumoperitoneum anrl ch削ge of body position were recorcl叫 and analy盼d.R，创浏阳 The compli阳ce of lungs ,peak pressure ，附istance ， P F.T CO 2 ,blood pressure and heart rate after introduction of pneumoperitone- um and change of 协dy position in Group L w.制 significantly increased (P 0.05) ,whilst compliance of lungs w嗣 lower in Group P. The resistance w制 higher (P O. 05 ); peak pressure and P盯CO2 ,were not changed in Group P. And blood pres州re and heart rate we阳 steady.ηlcre w剧 a higher incid