摘要
目的比较COPD伴Ⅱ型呼吸衰竭病人分别进行压力控制通气（PCV）和容量控制通气（VCV）模式对患者的影响，并探讨其临床意义。方法64例COPD合并Ⅱ型呼衰病人随机分为PCV组和VCV组。分别测这两组的平台压（Pplat）、血气变化及中心静脉压（CVP）变化。结果通气24小时后PCV组气道平台压低于VCV组。两组通气24小时后中心静脉压明显升高，而VCV组上升更明显，两组治疗24小时后血气结果均得到改善。结论对于COPD合并Ⅱ型呼衰病人采用PCV通气模式能更好地防止气压伤。且对血流动力学影响小。主张对COPD伴Ⅱ型呼衰病人可尽量采用PCV通气模式。
Objective To compared COPD with type Ⅱ respiratory failure using pressure control ventilation （PCV）and volume control ventilation（VCV） mode on the impact of patients and its clinical significance. Methods 64 Patients Of COPD with type Ⅱ respiratory failure were randomly divided into PCV group and VCV group. To measured the two groups Pressure of platform （Pplat）, central venous pressure （CVP）and changes in blood gas, Results After ventilation 24 hours Pplat were lower in PcV group than in VCV group. CVP were increased significantly in both groups, but VCV group increased more, The results of blood gas in two groups were improved after ventilation treatment. Conclusion For COPD with type Ⅱ respiratory failure in patients using PCV is better to prevent pressure wound,and its hemodynamic effects is even smaller. Calling for COPD with type Ⅱ respiratory failure patients can make the best use of PCV.
出处
《新医学导刊》
2008年第5期14-15,共2页
New Medical Science
