摘要
病患呼吸衰竭時需適當的提供呼吸器以輔助或取代病患的呼吸功能，但呼吸器的使用常會對許多器官造成影響並產生合併症。最爲臨床醫護人員所熟悉呼吸器導致的合併症爲肺部損傷，其中呼吸器對呼吸肌肉中以橫膈膜的傷害爲主。近年來，紛紛有學者進行呼吸器導致橫膈膜功能失常之調查研究，但以動物實驗爲主，結果皆證實使用呼吸器控制模式會使橫膈膜萎縮、結構改變及收縮力下降。雖然，此結果尚未在人體應證，但醫護人員對呼吸器可能引發橫膈膜功能失常之影響應有所認知，尤其在病患使用完全控制模式時應特別小心謹愼。
並列摘要
Ventilator is commonly used to assist or substitute patient's respiratory function, when acute respiratory failure occurred. Ventilator, however, might cause many complications and further compromise the functions of several organs. Ventilator induced lung injure (VILI) is recognized as the most common problem by health care providers. Diaphragm, which is the major breathing muscle, is found greatly affected by ventilator. In these decades, many researchers conducted studies to investigate the ventilator-induced diaphragmatic dysfunction (VIDD). They found that using the controlled mechanical ventilation (CMV) easily caused atrophy and structural injury of diaphragm, decreased in diaphragmatic force. These results are not yet confirmed in the human, but it is indispensable for health care providers to notice the impact of mechanical ventilation on diaphragm. Especially, health care providers need to pay more attention in patients with the mode of CMV.
延伸閱讀
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