摘要
目的:探讨硫喷妥钠静脉麻醉下推拿治疗腰椎间盘突出症俯卧位按压时所引起的气体交换是否能满足机体氧供的需要。方法:对部分心肺功能较好的患者采用麻醉及推拿前后不吸氧并对其中20例患者进行呼吸指标变化的观察和血气分析。结果:按压时虽潮气量(V_T)小、频率快,但血氧饱和度(SPO_(2))却能保持在正常水平,血气分析也显示推拿后与给药前比较变化不大(P>0.05)。结论:按压能起到人工呼吸的作用。这种V_T较小、频率较快的呼吸方式类似于高频正压通气(HFPPV),是通过振荡弥散作用而维持正常的通气效应的。
Objective:To observe whether the gas exchange is suffícient for the requirement of body when the patient was prone in position and pressed in the course of massage under intravenous anesthesia with sodium pentothal(SP)for the treatment of lumbar intervertebral disc prolapse.Methods:The oxygen would not be given to the patients whose heart and lung functions were good during the course of anesthesia and massage,respiratory function and blood gas analysis were studied on 20 pa-tients selected randomly.Results:Tidal volume was smaller and respiratory rate was faster than nor-mal respiration.Saturation pulse oxygen was still normal in all patients.There were no significant changes in blood gas analysis before spinal injection and after massage(P>0.05).Conclusion:The pressing could attain the action of artificial respiration.The respiration pattern was similar to high frequency positive pressure ventilation.The action of vibration and diffusion had normal respiratory effect.
作者
时金华
曹建荣
傅洁美
王兰敏
李雁
SHI Jin-hua;CAO Jian-rong;FU Jie-mei(Guanganmen Hospital, China Academy of Traditional Chinese Medicine, Beijing 100053, China)
出处
《中国中西医结合杂志》
CAS
CSCD
北大核心
1997年第2期79-80,共2页
Chinese Journal of Integrated Traditional and Western Medicine
关键词
腰椎间盘突出症
静脉麻醉
推拿
人工呼吸
lumbar intervertebral disc prolapse
intravenous anesthesia
massage
artificial res-piration
