首页|PAV联合PSV对呼吸衰竭患者血流动力学及氧合指数的影响

PAV联合PSV对呼吸衰竭患者血流动力学及氧合指数的影响

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目的 探究比例辅助通气(PAV)联合压力支持通气(PSV)对呼吸衰竭患者血流动力学及氧合指数的影响.方法 根据治疗方法不同将住院并进行治疗的呼吸衰竭患者分为PAV联合PSV组(PP组):该组患者在PAV组患者基础上加用PSV进行辅助通气;比例辅助通气组(PAV组):该组患者采用比例辅助通气进行辅助通气.每组患者50例.通过分析PAV组和PP组患者生命体征、呼吸参数、血气指标、氧合指数、舒适度的差异性来探究PAV联合PSV对呼吸衰竭患者血流动力学及氧合指数的影响.结果 治疗前,PAV组和PP组患者各项指标比较差异无统计学意义(P>0.05);治疗后,PP组患者收缩压、RR、HR等各项指标显著低于PAV组(P<0.05),PP组患者PiP、VE、Vti等呼吸参数各项指标显著高于PAV组(P<0.05);PP组患者PaO2 指标表达水平显著高于PAV组,而PaCO2 表达水平显著低于PAV组(均P<0.05);PP组患者氧合指数显著高于PAV组,机械通气治疗舒适度显著低于PAV组(P<0.05).结论 PAV联合PSV与单一PAV治疗相比较,联合治疗对呼吸衰竭患者的治疗效果更佳,能够显著改善患者基本生命特征、血流动力学、氧合指数等多项指标.
Effects of PAV combined with PSV on blood flow and oxygenation index in patients with respiratory failure
Objective To explore the effect of PAV combined with PSV on blood flow and oxygenation index in patients with respiratory failure.Methods According to different treatment methods,patients with respiratory failure who were hospitalized and treated in our hospital were divided into proportional assisted ventilation combined with pressure support ventilation group(PP group):patients in this group added pressure support ventilation to assisted ventilation on the basis of PAV group patients;proportion assisted ventilation group(PAV group):Patients in this group use proportional assisted ventilation for assisted ventilation,50 patients in each group.There was no significant difference in general data between patients in PAV group and PP group.By analyzing the differences in vital signs,respiratory parameters,blood gas indexes,oxygenation index,and comfort of patients in the PAV group and the PP group,we explored the proportion of assisted ventilation(PAV)combined with pressure support ventilation(PSV)for blood flow and oxygen in patients with respiratory failure.Results Before treatment,there was no statistically significant difference in various indicators between the PAV group and the PP group(P>0.05);After treatment,the systolic blood pressure,RR,HR and other respiratory parameters in the PP group were significantly lower than those in the PAV group(P<0.05),while the PiP,VE,Vti and other respiratory parameters in the PP group were significantly higher than those in the PAV group(P<0.05);The expression level of PaO2 indicators in the PP group was significantly higher than that in the PAV group,while the expression level of PaCO2 was significantly lower than that in the PAV group(all P<0.05);The oxygenation index of PP group patients was significantly higher than that of PAV group,and the comfort of mechanical ventilation treatment was significantly lower than that of PAV group(P<0.05).Conclusion Compared with single PAV treatment,PAV combined with PSV treatment has better treatment effect on patients with respiratory failure,and can significantly improve the patient's basic life characteristics,blood flow,oxygenation index and other indicators.

Proportional assisted ventilation(PAV)Pressure-supported ventilation(PSV)Respiratory failureBlood flowOxygenation index

努尔古丽·艾海提、米热古丽·阿不都热合曼、张帆、刘锦云、买尔旦·阿不来

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新疆维吾尔自治区胸科医院急诊科,乌鲁木齐 830049

新疆维吾尔自治区胸科医院内科,乌鲁木齐 830049

山东大学附属山东省妇幼保健院院感办,济南 250014

新疆维吾尔自治区胸科医院重症医学科,乌鲁木齐 830049

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PAV PSV 呼吸衰竭 血流动力学 氧合指数

新疆少数民族科技人才特殊培养计划科研项目

201523122

2023

中国处方药
南方医药经济研究所

中国处方药

影响因子:0.649
ISSN:1671-945X
年,卷(期):2023.21(12)
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