中国医学前沿杂志（电子版）2017，Vol.9Issue(8)：114-117,4.DOI:10.12037/YXQY.2017.08-26
俯卧位通气对急性呼吸窘迫综合征患者氧合能力及血流动力学的影响
Effects of ventilation in prone position on oxygenation capacity and hemodynamic in patients with ARDS
摘要
Abstract
Objective To explore the effects of ventilation in prone positionon oxygenation capacity and hemodynamic in patients with acute respiratory distress syndrome (ARDS). Method 101 patients with ARDS were selected from January 2014 to December 2016 as the research objects, to action ventilation in prone position under certain sedatives and nondepolarizing, the oxygenation capacity [arterial partial pressure of oxygen (PaO2), partial pressure of carbon dioxide, PaO2/raction of inspiration O2 (FiO2)] and hemodynamic parameters (cardiac output, stroke volume and stroke volume variation) were recorded before prone position ventilation and prone position ventilation 1h, prone position ventilation 2h, supine position ventilation 1h and supine position ventilation 2h. Result At prone position ventilation 1h and prone position ventilation 2h, the PaO2 and PaO2/FiO2 were significantly higher than before prone position ventilation (P<0.05), and there was still a marked improvement effect in supine position ventilation 1h (P<0.05). From supine position to prone position and then to supine position, hemodynamic indexes at each time point did not changed significantly (P>0.05). Conclusion Ventilation in prone position within 2h can significantly improve oxygenation capacity in patients with ARDS, and with little influence on hemodynamics.关键词
急性呼吸窘迫综合征/俯卧位通气/血流动力学Key words
Acute respiratory distress syndrome/Prone position ventilation/hemodynamic引用本文复制引用
刘莹,袁伟峰..俯卧位通气对急性呼吸窘迫综合征患者氧合能力及血流动力学的影响[J].中国医学前沿杂志（电子版）,2017,9(8):114-117,4.
