Effect of Sequential Lung Recruitment Strategy with Lung Protective Ventilation for Oxygenation Function and Hemodynamics of Patients with Exogenous ARDS
Objective To explore effect of sequential lung recruitment(RMB)strategy with pulmonary protective ventilation on oxygenation function and hemodynamics of patients with exogenous acute respiratory distress syndrome(ARDS).Methods The paper chose 70 patients with exogenous ARDS in our hospital from February 2020 to February 2023 as research subjects,and divided them into two groups with random number method,35 cases in each group.Control group was treated with routine treatment with pulmonary protective ventilation mode,combination of low tidal volume(6ml/kg)and optimal positive end expiratory pressure(PEEP),and treatment group with RMB mode on the basis of control group.Clinical treatment effect,arterial blood gas analysis indicators,and hemodynamic blood indicators were observed between two groups.Results After treatment,mechanical ventilation time and ICU stay in treatment group was significantly shorter than control group,incidence and mortality of VAP was significantly lower,(P<0.05).The partial pressure of oxygen(PO2),partial pressure of carbon dioxide(PCO2),and oxygenation index(FiO2)in treatment group was significantly higher than control group(P<0.05).The average arterial blood pressure(MAP)and central venous pressure(CVP)in treatment group was higher than control group(P<0.05).Conclusion Sequential RMB strategy of lung protective ventilation can improve oxygenation function and reduce effect on serum dynamics effectively,with high application value.
万方数据
维普
