重庆医学2017，Vol.46Issue(14)：1904-1906,3.DOI:10.3969/j.issn.1671-8348.2017.14.010
俯卧位通气在急性呼吸窘迫综合征中的应用及护理干预研究
Clinical value and nursing intervention of prone position ventilation in treating patients
摘要
Abstract
Objective To investigate the effect of position ventilation(PPV) on oxygenation,the airway sputum drainage and hemodynamic of acute respiratory distress comprehensive syndrome(ARDS).Methods From June 2015 to April 2016,13 cases with moderate or severe ARDS were researched.The changes of PaO2,PaCO2,SpO2,PaO2/FiO2 and airway sputum drainage were observed as well as HR,MAP,CVP,CO,CI,SVV,etc.Results Totally 56 PPV were taken.Compared with pre-treatment of PPV,the number of PaO2 and PaO2/FiO2 increased from (74.7±13.18) mm Hg and 168.65±22.12 to (92.13±17.82) mm Hg and 208.80±24.04(P<0.05) respectively;SpO2 and airway sputum drainage increased from (95.32±2.76)% and (7.84±1.68)mL to (97.04±1.84)% and (13.25±3.55)mL(P=0.000).However,there were no significant differences in HR,MAP,CVP,CO,CI and SVV(P>0.05).Conclusion PPV can effectively improve oxygenation in patients with ARDS and promote airway sputum drainage,and hemodynamic effects are not obvious.However,nursing intervention still should be strengthened.关键词
俯卧位/呼吸窘迫综合征,成人/机械通气/氧合/痰液引流/护理Key words
prone position/respiratory distress syndrome/adult/mechanical ventilation/acute respiratory distress syndrome/oxygenation/sputum drainage/nursing分类
医药卫生引用本文复制引用
米洁,黄桃,高西..俯卧位通气在急性呼吸窘迫综合征中的应用及护理干预研究[J].重庆医学,2017,46(14):1904-1906,3.基金项目
国家临床重点专科建设经费资助项目([2010]305) （[2010]305）
国家青年科学基金资助项目(81201173). （81201173）
