《中国康复理论与实践》

《中国康复理论与实践》 ›› 2001, Vol. 7 ›› Issue (02): 60-61.

• 专题研究 • 上一篇    下一篇

颈髓损伤呼吸功能不全时压力支持通气的应用

赵海平; 周皓   

  1. 北京博爱医院ICU科 北京市 100077
  • 收稿日期:2000-10-11 出版日期:2001-06-25 发布日期:2001-06-25

Application of pressure support ventilation on cervical spinal cord injured patients

ZHAO Hai-ping,ZHOU Hao   

  1. Beijing Bo'ai Hospital affiliated to China Rehabilitation Research Center,Beijing 100077,China
  • Received:2000-10-11 Published:2001-06-25 Online:2001-06-25

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摘要： 目的总结颈髓损伤呼吸功能不全患者使用压力支持通气(PSV)的经验。方法观察不同水平压力支持通气时呼吸频率(RR)、潮气量(VT)、每分通气量(VE)、吸气峰压(PIP)、肺动态顺应性(Cdyn)等数值变化和血气分析变化。结果观测指标与PSV水平两者呈相关性变化。结论通过调节PSV水平可使有关呼吸监测指标均改善,使患者处于较为合理的呼吸状态。

关键词: 脊髓损伤, 颈髓损伤, 呼吸功能不全, 康复, 压力支持通气

Abstract: ObjectiveTo summarize the application of pressure support ventilation (PSV) on cervical spinal cord injured patients with respiratory dysfunction.MethodSixteen patients were studied.Respiratory rate (RR),tidal volume (VT), minute ventilation (VE),peak inspiration pressure (PIP), dynamic lung conpliance (Cdyn), blood pH value, PaO2 and PaCO2 were measured under the different pressure levels of PSV. ResultAll parameters correlated with the level of PSV. Conclusion Appropriate PSV levels can make the respiratory parameters close to the reasonable level and respiratory functional status for the cervical cord injured patients with respiratory dysfunction.

Key words: spinal cord injury, cervical spinal cord injury, respiratory dysfunction, rehabilitation, pressure support ventilation