呼气末二氧化碳分压监测在机械通气不良事件中的应用价值 / The Application Value of end tidal carbon dioxide partial pressure on mechanical ventilation adverse events
- Resource Type
- Academic Journal
- Authors
- 梁章荣; 李旷怡; 张英俭; 陈景利; 魏华; 吴智鑫; 李莹莹
- Source
- 吉林医学. 37(10):2572-2574
- Subject
- 呼气末二氧化碳分压
机械通气
不良事件
End tidal carbon dioxide partial pressure
Mechanical ventilation
Adverse events
- Language
- Chinese
- ISSN
- 1004-0412
目的:探讨呼气末二氧化碳分压(PETCO2)监测在机械通气不良事件中的应用价值。方法:选取急诊科机械通气患者114例,采用随机数字表法分为两组,57例患者实施 PETCO2监测为观察组,57例患者未实施 PETCO2监测为对照组,比较两组患者机械通气不良事件的发生情况、预后情况、响应情况。结果:观察组患者错误插管发生率(1.8%)、呼吸机管路扭曲或打折发生率(10.5%)、呼吸机管路脱落发生率(8.8%)、通气不足发生率(5.3%)均低于对照组(5.3%、15.8%、14.0%、8.8%),观察组患者治愈出院率(98.2%)高于对照组(96.5%),但差异均无统计学意义(P >0.05)。观察组患者错误插管的响应时间(0.57±0.18)min、呼吸机管路扭曲或打折的响应时间(1.06±0.35) min、呼吸机管路脱落的响应时间(0.25±0.11)min、通气不足的响应时间(4.13±0.79)min 均明显少于对照组(2.10±0.42)min、(1.89±0.27)min、(0.87±0.16)min、(7.62±1.24)min,差异均有统计学意义(P <0.05)。结论:PETCO2监测可及早发现机械通气不良事件的发生,有助于改善患者的预后,值得临床推广使用。
Objective To investigate the application value of end tidal carbon dioxide partial pressure on mechanical venti-lation adverse events.Method 114 patients with mechanical ventilation in department of emergency were selected,they were randomly divided into two groups.57 patients treated end tidal carbon dioxide partial pressure as observation group.57 patients did not implement end tidal carbon dioxide partial pressure as control group.Occurrence of mechanical ventilation adverse e-vents and prognosis were compared between two groups.Response to mechanical ventilation adverse events were analyzed in two groups.Results Incidence of error intubation (1.8%);ventilator pipe twisted or discount (10.5%);ventilator pipe shed (8.8%);inadequate ventilation (5.3%)in the observation group were lower than control group (5.3%);(15.8%);(14%);(8.8%).Cured rate(98.2%)in observation group was higher than control group (96.5%).Differences were not statistically significant (P >0.05).Response time of error intubation (0.57 ±0.18 min);ventilator pipe twisted or discount (1.06 ±0.35)min;ventilator pipe shed (0.25 ±0.11)min;inadequate ventilation (4.13 ±0.79)min in observation group were significantly less than control group (2.10 ±0.42)min;(1.89 ±0.27)min;(0.87 ±0.16)min;(7.62 ±1.24) min.Differences were statistically significant (P <0.05).Conclusion End tidal carbon dioxide partial pressure can early dis-cover mechanical ventilation adverse events,which is helpful to improve prognosis of patients.That is worthy of clinical use.