肺保护性通气策略应用于全身麻醉及其对患者转归的影响 吴静 , 薛庆生 ,于布为 【摘要】 背景: 以小潮气量联合肺开放性通气为主的肺保护性通气策略,已广泛应用于ARDS/ALI患者的临床治疗。而对于全身麻醉患者，肺保护性通气策略对患者肺功能及术后肺部并发症的影响还不明确。 目的: 此文回顾了近年来来主要的肺保护性通气策略，其在患者肺功能和术后转归作用上的研究进展。内容: 以小潮气量联合肺开放性通气策略为主的肺保护性通气策略相对于传统通气，术中患者的肺部炎症因子有所下降，而对患者术后肺部并发症的影响还不明确。趋向: 通过进一步研究，建立一个肺保护性通气策略的应用指南，有效降低全麻患者术后肺部并发症的发生率，改善患者预后。
Lung- protective ventilation strategy applied in general anesthesia and its influence on the patients’ outcome WU Jing* ，XUE Qing-sheng，YU Bu-wei. *Department of Anesthesiology ，Shanghai Ruijin Hospital ，Shanghai200025,China 【Abstract】: Background: Low tidal volume combined with open lung ventilation regarded as the main Lung- protective ventilation strategy has been widely used in ARDS / ALI patients. When this strategy is applied in the general anesthesia patients, effects of lung- protective ventilation on pulmonary function and postoperative pulmonary complications are still not clear. Purpose :This review presents the progressing in the research of the main lung protective ventilation strategy affecting lung function and postoperative outcomes in recent years.Content Lung protective ventilation strategy is defined as low tidal volume combined with lung open ventilation strategy. Then, comparing the lung protective ventilation strategy with conventional ventilation, the patient's pulmonary inflammatory factors decreased in the surgery. However, its impact on the postoperative pulmonary complications is not clear. Trends：Through further research, establishing a lung protective ventilation strategy for the application of guidelines. Then reducing the incidence of postoperative pulmonary complications and improve the prognosis of patients.
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