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《JOURNAL OF SHANGHAI MEDICA(UNIVERSITY)》 1998-02
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THE INFLUENCE OF VENTILATING TECHNOLOGY TO THE FACE MASK MECHANICAL VENTILATION IN COPD PATIENTS WITH RESPIRATORY FAILURE

Niu Shanfu, Zhu Lei, Cai Yingyun, Bai Chunxue, Li Yanqin(Institue of Respiratory Diseases, Department of Pulmonology Diseases, Zhongshan School of Clinical Medicine,Shanghai Medical University, Shanghai 200032)  
URPOSE To investigate the influence of technologic factors to face mask mechanical ventilation in chronic obstructive pulmonary disease (COPD) with respiratory failure.METHODS Three periods were divided according to the efficacy of the ventilator the face mask, ventilating modes, and the regulation of the ventilating parameters. The face mask ventilating effect and side effects in three periods were compared, and clarified from respiratory physiology.RESULTS The materials and fixing methods of the mask, the fulling of the air pad could affect the comfortable degree of patients and airtighting degree of the mask. Pressure support ventilation (PSV) had better synchronism, lower mask pressure on face, and higher ventilating efficacy than Assist/Control (A/C) mode. But A/C mode are necessary when patients had lower respiratory centre excitability or severe respiratory muscle fatigue. The pressure or total volume should be elevated from lower level when PSV or A/C mode was used. The effective rate of face mask ventilation, the total effective rate of hospitalized patients increased gradually from 46%, 72% of the initial period to 67%, 72% of the middle period, and 83%, 81% of the near period, but the ratio of cases who had necrosis and gastric insuflation decreased gradually from 27%, 46% to 12%, 38%; 7%, 21% at the same period.CONCLUSIONS The function of ventilators, mask characaristics, selection of ventilating modes and adjusting of ventilating parameters determined whether face mask ventilation was successful or not.
【Fund】: 国家“八五”攻关课题”发展无创性机械通气预防和治疗肺心病呼吸衰竭技术”资助
【CateGory Index】: R563.1
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