心内直视手术后呼吸机脱机方式的比较研究

Off-line nursing of using synchronizing intermittent mandatory ventilation after endocardial operation under direct vision

目的探讨同步间歇指令通气(SIMV)过度脱机方式对心内直视手术患者呼吸机使用及带口插管时间的影响。方法将我院使用的直接脱机与在北京阜外医院护理专家指导下使用SIMV过度脱机相比较,观察呼吸机使用时间、带口插管时间、ICU监护时间、脱机成功率等。结果SIMV过度脱机明显优于直接脱机,两组间差异有统计学意义(P<0.05)。结论SIMV过度脱机可减少呼吸机使用及带口插管时间,对血液动力学影响小,安全性大,是心内直视手术后较理想的脱机方式。

Objective To study the effect of synchronizing intermittent mandatory ventilation （SIMV） over off-line way to the endoeardial operation under direct vision of their respirator using and mouth intubation wearing. Method Compare the patients who used direct off-line with those who used SIMV over off-line under the guiding of experts in Beijing Fuwai Hospital. The time of using respirator, wearing mouth intubation, ICU monitoring and the success rate were measured and compared. Result SIMV over off-line is obviously superior to direct off-line, and there were significant differences between the two groups （P〈0.05）. Conclusion SIMV over off-line could reduce the time of respirator using and mouth intubation wearing affect the hemodynamic less and be more safe which is comparatively more ideal way over off-line way after endocardial operation under direct vision.