| 王少华,陈少波,匡凤梧.同步间歇性指令性通气治疗早产儿呼吸衰竭的临床研究.[J].中南医学科学杂志.,2003,(3):281-282,317. |
| 同步间歇性指令性通气治疗早产儿呼吸衰竭的临床研究 |
| A Clinical Study About Mechanical Ventilation on SIMV in The Premature With Respiratory Failure |
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| DOI： |
| 中文关键词: 同步间歇性指令性通气 治疗 早产儿 呼吸衰竭 机械通气 |
| 英文关键词:mechanical ventilation,synchronous intermittent mandatory ventilation,premature |
| 基金项目: |
| 王少华 陈少波 匡凤梧 |
| 深圳市福田区妇幼保健院，中山市博爱医院，重庆医科大学儿童医院 广东深圳518045 |
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| 中文摘要: |
| 目的 探讨同步间歇性指令性通气 (SIMV)在早产儿机械通气中的临床意义。方法 36例需要机械通气的早产儿随机分成两组 ,SIMV组 2 1例 ,间歇性指令性通气 (IMV)组 1 5例 ,观察两组呼吸机参数的变化情况、并发症的发生率及镇静剂的使用次数并进行比较。结果 上机 2h后吸气峰压 (PIP)、4h后呼气频率 (RR)及 1 2h后吸入氧浓度 (FiO2 )明显低于IMV组 ,镇静剂的使用次数SIMV组小于IMV组 ,两组差异有显著性 (P <0 .0 5 ) ;并发症的发生率两组差异无显著性 (P >0 .0 5 )。结论 早产儿呼吸衰竭机械通气时使用SIMV模式与IMV比较 ,前者能更快降低FiO2 、PIP、RR ,减少镇静剂和肌松剂的使用率 |
| 英文摘要: |
| Object To evaluate the clinical significance of synchronous intermittent mandatory ventilation (SIMV) in ventilated premature. Methods 36 prematures were studied. SIMV set 21 and IMV set 15. The ventilator's parameters on FiO 2,PIP and RR were compared .The frequency of sedatives used, incidence rate of complications were also compared between two groups. Results In SIMV group, FiO 2,PIP and RR were obviously less after 2,4,12 hours ventilation(P<0.05). The times of sedatives used in SIMV group were less than that in IMV group(P<0.05). Conclusion In ventilated prematures, SIMV could more rapidly reduced FiO2?PIP and RR and the sedatives used in SIMV were also obviously reduced. |
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