国际麻醉学与复苏杂志   2020, Issue (1): 0-0
    
驱动压指导的肺保护性通气策略在围手术期应用的研究进展
唐蓉, 王迎斌1()
1.兰州大学第二医院
Progresses in driving pressure‑guided pulmonary protective ventilation strategy in perioperative period
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摘要:

机械通气相关性肺损伤(ventilator induced lung injury, VILI)由有创机械通气操作引发或加剧。随着对VILI发病机制的不断探索,能在一定程度上减轻VILI程度的肺保护性通气策略的研究也越来越深入。如何实现个体化肺保护性通气参数设置是当前亟待解决的临床问题。最近提出的驱动压指导的肺保护性通气策略能显著改善患者预后,有望成为一种新型的肺保护策略在围手术期应用。文章通过分析驱动压的概念及意义,总结其在围手术期应用的研究进展,为肺保护性通气策略提供新的思路。

关键词: 肺; 机械通气; 驱动压; 保护性通气策略; 并发症
Abstract:

Ventilator induced lung injury (VILI) is caused or aggravated by invasive mechanical ventilation. With the continuous exploration of the pathogenesis of VILI, increasing studies have been carried out to explain the strategies of lung protective ventilation that can alleviate VILI injury. Currently, how to determine the parameters of individualized lung protective ventilation is an urgent clinical problem to be solved. Recently proposed driving pressure‑guided lung protective ventilation strategy can significantly improve patient prognosis, and is expected to become a new type of lung protection strategy in perioperative application. This review is to analyze the concept and meaning of driving pressure, summarize its application in perioperative period, so as to provide new ideas for lung protective ventilation strategy.

Key words: Lung; Mechanical ventilation; Driving pressure; Protective ventilation strategy; Complication