PetCO2分压与PaCO2分压监测在呼吸衰竭患者中的应用比较.docxVIP

? ? PetCO2分压与PaCO2分压监测在呼吸衰竭患者中的应用比较 ? ? 叶仁江 万绍芳 摘 要 目的：观察呼气末CO2分压（PetCO2）与动脉血CO2分压（PaCO2）监测在呼吸衰竭患者中的应用效果。方法：选取呼吸衰竭患者800例，均同步使用呼气末CO2分压与动脉血CO2分压两种方法监测。对比分析两种血气监测结果在不同呼吸机模式及不同原发疾病类型中的差异。结果：PetCO2与PaCO2在不同呼吸机模式下及不同原发疾病类型中的监测结果相比，差异无统计学意义（P0.05）。结论：PetCO2与PaCO2无显著差异，使用PetCO2取代PaCO2监测血气能够避免频繁采血，可减轻患者病痛，实现不间断的血气实时监测，利于患者治疗。但从A/C、未分区模式及慢阻肺监测结果来看，数据吻合度相对较低，因此在临床中应结合实际情况选择合理的监测方式。 Key 呼吸衰竭 PetCO2分压 PaCO2分压 中圖分类号：R459.7； R563.8 文献标志码：A ：1006-1533（2019）23-0072-03 Comparison of the application of PetCO2 partial pressure and PaCO2 partial pressure in the monitoring of patients with respiratory failure YE Renjiang1*， WAN Shaofang2 （1. Department of Critical Medicine， 2. Department of Respiratory and Nephrology， the Peoples Hospital of Nanchang County， Jiangxi Nanchang 330200， China） ABSTRACT Objective： To study the effect of PetCO2 and PaCO2 in the monitoring of patients with respiratory failure. Methods： Eight hundred patients with respiratory failure were selected and simultaneously monitored by both PetCO2 partial pressure and PetCO2 partial pressure. The differences between the two blood gas monitoring results in different ventilator modes and different types of primary diseases were analyzed. Results： There were no differences between PetCO2 and PaCO2 in different ventilator modes and primary disease types （P0.05）. Conclusion： There are no significant differences between PetCO2 and PaCO2 for monitoring blood gas indicators. Use of PetCO2 instead of PaCO2 can avoid frequent blood collection， thus reducing patients pain and realizing real-time blood gas monitoring， which is of benefit to treatment. However， the data consistency is relatively low in view of the A/C， undifferentiated mode and COPD monitoring results so that reasonable monitoring method should be selected based on actual situation. KEy WORDS respiratory failure； PetCO2； PaCO2 呼吸衰竭是急诊科较常见的通气、换气功能障碍性疾病，发病后患者难以进行自主有效的气体交换，导致体内二氧化碳潴留，氧气含量缺失，从而引发多种代谢紊乱及生理功能障碍等临床综合征[1]。神经中枢传导系统或呼吸机病变、肺组织及呼吸道病变、肺血管疾病等，均为诱发呼吸衰竭的常见因素[