Pulmonary function in patients with severe reduction of video assisted thoracoscopic lung resection operation after the application of noninvasive positive pressure ventilation
PENG Haijun
DUAN Xiaoliang
WANG Min
LI Jianhang
ZHOU Yu
WEI Lan
QIN Xuebo
FENG Junpeng
WANG Bin
XU Weile
Abstract：Objective To observe the effect of noninvasive positive pressure ventilation ( NPPV) on pulmonary func-tion in severe video-assisted thoracoscopic lung resection patients .Methods 60 patients who underwent minimally invasive video-assisted thoracoscopic operation in department of thoracic surgery were included ;they were randomly divided into control group (28 cases) and NPPV group (32 cases).The 2 groups were given conventional anti infection , inhalation, analgesic, nutritional support treatment .Based on conventional therapy , the NPPV group received NPPV treatment .The control group re-ceived venturi mask or nasal catheter oxygen treatment with oxygen concentration 30%~50%.Before and after operation , chest tube removal time , gas drainage , hospitalization time and incidence of pulmonary complications were recorded and ana -lyzed in the 2 groups.Results Compared with control group , after surgery, NPPV group's partial pressure of oxygen [(74.20 ±9.41) mm Hg vs.(60.30 ±8.22) mm Hg],carbon dioxide [(40.38 ±7.66) mm Hg vs.(48.34 ±8.46) mm Hg],pH value (7.385 ±0.059 vs.7.315 ±0.039), extubation time [(3.2 ±1.4) d vs.(5.3 ±1.2) d], the total drainage vol-ume [(638.6 ±32.2) ml vs.(850.8 ±68.4) ml], admission time (10.3 ±2.4) d vs.(15.8 ±2.6) d)was improved sig-nificantly ( P <0.05), lung complications rate was 21.9% in NPPV group (7/32), lower than that of the control group 57.2%(16/28) ( P <0.05).Conclusion Prophylactic NPPV treatment for patients with pulmonary function severely re-duced before video-assisted thoracoscopic lung resection operation can improve the curative effect , reduce the incidence of pul-monary complications .
Keywords：Pulmonary function reductionVideo-assisted thoracoscopic operationNoninvasive positive pressure ven-tilationPulmonary complications
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 796-799 )