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[控制通气与同步间歇指令通气对慢性阻塞性肺疾病患者血流动力学及血气影响的对比研究]

[A comparative study of the effects of control ventilation and synchronized intermittent mandatory ventilation on hemodynamic and blood gases in patients with chronic obstructive pulmonary disease].

作者信息

Bai C X

机构信息

Zhongshan Hospital, Shanghai Medical University.

出版信息

Zhonghua Jie He He Hu Xi Za Zhi. 1992 Aug;15(4):220-1, 255.

PMID:1307516
Abstract

Effects of control ventilation (CV) and synchronized intermittent mandatory ventilation (SIMV) were comparatively studied in 9 patients with chronic obstructive pulmonary disease. Cardiac index (from 2.99 +/- 0.65 to 3.60 +/- 0.651.min-1.m-2, P < 0.05) and oxygen delivery index (from 537 +/- 89 to 645 +/- 101 ml.min-1.m-2, P < 0.05) were significantly increased during SIMV comparing with CV. Mixed venous oxygen tension (from 5.63 +/- 0.66 to 6.06 +/- 0.59 kPa, P < 0.01) was improved by SIMV. The results showed that SIMV could improve cardiac output, oxygen delivery and oxygen supply of tissue.

摘要

对9例慢性阻塞性肺疾病患者的控制通气(CV)和同步间歇指令通气(SIMV)效果进行了比较研究。与控制通气相比,同步间歇指令通气期间心脏指数(从2.99±0.65升至3.60±0.65L·min⁻¹·m⁻²,P<0.05)和氧输送指数(从537±89升至645±101ml·min⁻¹·m⁻²,P<0.05)显著升高。同步间歇指令通气改善了混合静脉血氧分压(从5.63±0.66升至6.06±0.59kPa,P<0.01)。结果表明,同步间歇指令通气可改善心输出量、氧输送和组织供氧。

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