الملخص
Appropriate positive end-expiratory pressure(PEEP)level is an important component of protective lung ventilation strategy.PEEP can maintain the openness of alveoli and reduce lung collapse in-jury.Although individualized PEEP application has been increasingly recognized by clinical physicians,the optimal PEEP titration method is still controversial.Electrical impedance tomography(EIT)is a non-inva-sive and radiation-free imaging technique that can be used to dynamically assess lung function at the bedside.EIT presents changes in impedance during ventilation as dynamic images,which can reflect altera-tions in ventilation and gas distribution before and after PEEP adjustments.Therefore,EIT can be utilized to tailor individualized PEEP.This article provides a brief overview of the basic principles and monitoring pa-rameters of EIT.It elucidates the PEEP titration method under the guidance of EIT in clinical applications(PEEPEIT),aiming at enhancing the understanding of the advantages and limitations of EIT and providing reference for the setting of individualized PEEP.
الملخص
【Objective】To observe the influence of hot-needle therapy and herbal medicine fuming-washing combined with western medicine for the treatment of rheumatoid arthritis(RA).【Methods】One hundred and twenty-eight RA patients were equally randomized into two groups: group A received hot-needle therapy and herbal medicine fuming-washing combined with western medicine of meloxicam,salazosulfamide,and methotrexate,and group B was treated with western medicine only.The treatment lasted one month.Symptoms and signs of early morning stiffness time,grip strength,joints with tenderness count,tenderness index,auricular rest pain,swollen joints count,swelling index as well as the evaluation by the patients themselves and the doctors were observed before and after treatment.Meanwhile,the changes of rheumatoid factor(RF),C-reactive protein(CRP),erythrocyte sedimentation rate(ESR),the white blood cell(WBC) count and platelet(PLT) count were evaluated before and after treatment.【Results】The total effective rate in group A was 78.1%,which was superior to 53.1% in group B(P