[摘要] 目的 分析不同腹腔压在呼吸衰竭及其对神经调节辅助通气膈肌电活动(EADi)和呼吸功能的影响。 方法 选取2015年1月～2016年1月50例医院收治呼吸衰竭患者作为观察对象，所有患者均采用神经调节辅助通气，根据国际腹间隙综合征学会对高腹腔压(腹腔压≥12 mmHg)的定义将患者分为高腹压组和非高腹压组。观察两组患者的每小时EADi值与潮气量。 结果 高腹压组EADi值方面均显著低于非高腹压组(P<0.05)，而在潮气量方面则显著高于非高腹压组(P<0.05)。 结论 在应用神经调节辅助通气时，高腹腔压会使得EADi值下降而潮气量升高；非高腹压时则会使得EADi值升高而潮气量下降。

    [关键词] 腹腔压；呼吸衰减；神经调节辅助通气；呼吸功能

    [中图分类号] R563.8 [文献标识码] A [文章编号] 1673-9701(2017)23-0017-03

    [Abstract] Objective To investigate the effects of different abdominal pressure on respiratory failure and its effect on the neurally adjusted assisted ventilation diaphragm electrical activity(EADi) and respiratory function. Methods 50 patients with respiratory failure who were admitted to our hospital from January 2015 to January 2016 were selected as the observation subjects. All patients were given neurally adjusted assisted ventilation. According to the definition of high abdominal pressure(intraperitoneal pressure≥12 mmHg)by the International Abdominal Compartment Syndrome Association ......