基于机械功率肺保护性通气策略的研究进展

Research progress of lung protective ventilation strategy guided by mechanical power

中文关键词: 机械功率  肺保护性通气策略  术后肺部并发症  机械通气相关性肺损伤

英文关键词: Mechanical power  Lung protective ventilation strategy  Postoperative pulmonary complications  Ventilator-induced lung injury

中文摘要:

      近几年肺保护性通气策略（LPVS）的深入研究揭示了机械通气相关性肺损伤（VILI）是由潮气量、气道压力和呼吸频率等呼吸参数相互作用的结果。机械功率（MP）作为评估呼吸系统能量负荷的综合性指标，整合了上述参数，在临床研究中的重要性日益凸显。本文旨在总结术中MP的变化规律，并评估不同机械通气模式对MP的影响，为未来临床实践中个性化机械通气策略的制定提供参考。

英文摘要:

      Recent research advancements in lung-protective ventilation strategies (LPVS) has revealed that ventilator-induced lung injury (VILI) arises from the interplay of respiratory parameters such as tidal volume, airway pressure, and respiratory frequency. Mechanical power (MP), a comprehensive indicator of respiratory system energy load, integrates these parameters and has increasingly gained importance in clinical studies. This article aims to summarize the changes in MP during surgery, and evaluate the impact of different mechanical ventilation modes on MP. By delineating these associations, this article aims to inform personalized ventilation strategies in future clinical practice.