检验医学与临床2017，Vol.14Issue(11)：1525-1527,3.DOI:10.3969/j.issn.1672-9455.2017.11.002
俯卧位通气对创伤后急性呼吸窘迫综合征的临床救治价值
Clinical treatment value of prone position ventilation in post-traumatic acute respiratory distress syndrome
摘要
Abstract
Objective To evaluate the clinical treatment value of prone position ventilation(PPV) in post-traumatic acute respiratory distress syndrome (ARDS).Methods The post-traumatic ARDS patients treated in ICU of our hospital from January 1,2014 to December 31,2015 were retrospectively analyzed.The patients were divided into PPV group and non-PPV group according to whether conducting PPV.The demographic data and clinical data (age,gender,APACHEⅡ,SOFA score,number of underlying diseases),trauma related AIS and ISS scores,oxygenation indexes on 0,1,3,7,14 d after PPV,prognostic indicators (ventilator use time,retaining canal time,ICU stay length,total hospitalization duration,mortalities on 28,90 d).Results There was no statistic difference in demography data and clinical data between the two groups,and so did the oxygenation index (OI) on 0 d.OI on 1,3,7,14 d in the PPV group were 173.5±68.9,294.7±116.2,324.4±123.2 and 367.9±147.4 respectively,while which in the non-PPV group were 134.5±58.2,163.7±68.4,176.3±77.2 and 182.1±83.4,which in the PPV group were higher than those in the non-PPV group,the differences were statistically significant(P<0.05);the ventilator use time in the non-PPV group and PPV group were (24.4±11.1)d and (16.7±6.8)d respectively,the difference was statistically significant(P<0.05).The ICU stay time in the non-PPV group and PPV group were (34.1±14.7)d and (25.0±11.6)d respectively,the difference was statistically significant(P<0.05).The 90 d mortality rates in the non-PPV group and PPV group were 41.9% and 18.2% respectively,the difference was statistically significant(P<0.05).Conclusion PPV can improve OI in post-traumatic ARDS patients,reduces the ventilator use time,decreases the ICU stay time and declines the 90 d mortality.关键词
创伤/急性呼吸窘迫综合征/俯卧位通气Key words
trauma/ARDS/prone position ventilation引用本文复制引用
陈玺,唐昊,周健,王蔚,杨雪飞,王耀丽..俯卧位通气对创伤后急性呼吸窘迫综合征的临床救治价值[J].检验医学与临床,2017,14(11):1525-1527,3.基金项目
国家自然科学基金青年项目(81200057). （81200057）
