期刊文献+
任意字段
题名或关键词
题名
关键词
文摘
作者
第一作者
机构
刊名
分类号
参考文献
作者简介
基金资助
栏目信息

同步间歇指令通气治疗新生儿急性呼吸衰竭疗效观察 被引量：2

下载PDF
导出
摘要 分别用同步间歇指令通气(SIMV)及间歇正压通气(IPPV)治疗新生儿急性呼吸衰竭,比较两组0、2、6、12、24 h的呼吸机参数、肺氧合功能指标、平均上机时间及并发症。结果SIMV组在上机后6 h氧浓度(FiO2)、吸气峰压(PIP)显著下降(P<0.05),IPPV组上机12 h FiO2下降、24 h PIP下降(P均<0.05);SIMV、IPPV组分别上机2、6 h肺氧合功能明显改善(P均<0.05);SIMV组平均上机时间及并发症均少于IPPV组(P均<0.05)。提示SIMV能更快改善呼吸机参数及肺氧合功能,缩短上机时间,减少并发症,为治疗新生儿急性呼吸衰竭的有效机械通气模式。
作者 王崇伟 吴玲 刘登礼 赵幽燕 平鹦 周晓玉
机构地区 南京医科大学附属南京市儿童医院新生儿中心
出处 《山东医药》 CAS 北大核心 2007年第34期79-80,共2页 Shandong Medical Journal
关键词 同步间歇指令通气 间歇正压通气 新生儿 呼吸衰竭 急性
分类号 R563.8 [医药卫生—呼吸系统]
  • 相关文献

参考文献5

  • 1刘颖,师建国,王波.机械通气呼吸频率变化相关肺损伤的实验研究[J].第四军医大学学报,2007,28(3):270-272. 被引量：4
  • 2Lopez-Aguilar J ,Piacentini E, Villagra A, et al. Contributions of vascular flow and pulmonary capillary pressure to ventilator-induced lung injury[J]. Crit Care Med, 2006,34(4) :1106-1112.
  • 3Van Alfen-van der , Velden AA, Hopman JC, et al. Effects of midazolam and morphine on cerebral oxygenation and hemodynamics in ventilated premature infants [ J ]. Biol Neonate, 2006, 90 ( 3 ) : 197- 202.
  • 4Firme SR, McEvoy CT, Alconcel C, et al. Episodes of hypoxemia during synchronized intermittent mandatory ventilation in ventilatordependent very low birth weight infants[ J]. Pediatr Pulmonol,2005, 40( 1 ) :9-14.
  • 5李乃娥,宁方玉.机械通气治疗ARDS过程中气压伤发生的相关因素分析[J].山东医药,2006,46(10):40-41. 被引量：5

二级参考文献10

  • 1International consensus conferences in intensive care medicine.Ventilator-associated lung injury in ARDS[J].Am J Respir Crit Care Med,1999,160(2):2118-2124.
  • 2Gillette MA,Hess D.Ventilator induced lung injury and the evolution of lung protective strategies in acute respiratory distress syndrome[J].Respiratory Care,2001,46(2):130-148.
  • 3Cheng IW,Eisner MD,Thompson BT.Acute effects of tidal volume strategy on hemodynamics,fluid balance,and sedation in acute lung injury[J].Crit Care Med,2005,33(1):63-70,239-240.
  • 4Petrucci N,Iacovelli W.Ventilation with lower tidal volumes versus traditional tidal volumes in adults for acute lung injury and acute respiratory distress syndrome[J].Cochrane Database Syst Rev,2003,3(2):3844.
  • 5Chonghaile MN,Higgins B,Laffey JG.Permissive hypercapnia:Role in protective lung ventilatory strategies[J].Curr Opin Crit Care,2005,11(1):56-62.
  • 6Laffey JG,O'Croinin D,McLoughlin P,et al.Permissive hypercapnia--role in protective lung ventilatory strategies[J].Intensive Care Med,2004,30(3):347-356.
  • 7Povoa P,Almeida E,Fernandes A.Evaluation of a recruitment maneuver with positive inspiratory pressure and high PEEP in patients with severe ARDS[J].Acta Anaesthesiol Scand,2004,48(3):287-293.
  • 8Slutsky AS,Coriat P,Rouby JJ.A computed tomography scan assessment of regional lung volume in acute lung injury.The CT Scan ARDS Study Group[J].Am J Respir Crit Care Med,1998,158(5 Pt 1):1644-1655.
  • 9Valenza F,Guglielmi M,Maffioletti M.Prone position delays the progression of ventilator-induced lung injury in rats:Does lung strain distribution play a role[J]? Crit Care Med,2005,33(2):361-367.
  • 10Rich PB,Douillet CD,Hurd H.Effect of ventilatory rate on airway cytokine levels and lung injury[J].J Surg Res,2003,113(1):139-145.

共引文献7

同被引文献45

  • 1朱晓东,朱建幸,单炯,嵇若旭,狄华,陈菲.部分液体通气治疗新生儿胎粪吸入综合征疗效观察[J].临床儿科杂志,2005,23(6):345-347. 被引量：7
  • 2孙眉月.高频通气的临床应用[J].临床儿科杂志,2005,23(11):762-764. 被引量：12
  • 3林虹.高频振荡通气治疗新生儿呼吸衰竭的临床疗效分析[J].中国优生与遗传杂志,2007,15(9):87-87. 被引量：4
  • 4邵肖梅,叶鸿瑁,丘小汕.实用新生儿学[M].第4版.北京:人民卫生出版社,2012:63-64.
  • 5李桂源主编.病理生理学[M].第2版.北京:人民卫生出版社,2011:359.
  • 6Condò V,Colnaghi M,Vanzatiz M,et.al.Respiratory failure in "late preterm" infants:a retrospective cohort study[J].Pediatr Med Chir,2009,31(6):241-245.
  • 7Prashanth GP,Malik GK,Singh SN.Elective high-frequency oscillatory ventilation in preterm neonates:a preliminary investigation in a developing country[J].Paediatr Int Child Health,2012,32(2):102-106.
  • 8Singh SN,Malik GK,Prashanth GP,et al.High frequency oscillatory ventilation versus synchronized intermittent mandatory ventilation in preterm neonates with hyaline membrane disease:a randomized controlled trial[J].Indian Pediatr,2012,49(5):405-408.
  • 9Tang S,Zhao J,Shen J,et al.Nasal intermittent positive pressure ventilation versus nasal continuous positive airway pressure in neonates:a systematic review and meta-analysis[J].Indian Pediatr,2013,50(4):371-376.
  • 10Petrucci N,De Feo C.Lung protective ventilation strategy for the acute respiratory distress syndrome[J].Cochrane Database Syst Rev,2013,2:CD003844.

引证文献2

二级引证文献11

山东医药
2007年 第34期

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部