中国体外循环杂志2025，Vol.23Issue(2)：127-131,139,6.DOI:10.13498/j.cnki.chin.j.ecc.2025.02.08
俯卧位通气对心外科手术后低氧血症患者的影响研究
Study on the effect of prone position ventilation on patients with hypoxemia after cardiac surgery
摘要
Abstract
Objective The study aimed to evaluate the clinical efficacy and rehabilitation impact of prone position ventilation therapy on patients with hypoxemia after cardiac surgery.Methods A total of 120 patients with postoperative hypoxemia after cardiac surgery were prospectively included and randomly divided into a prone position ventilation group and a control group using a random number table method.Patients in the prone position ventilation group received prone position ventilation treatment in the ICU,while the control group received routine treatment.Vital signs and blood gas analysis results before treatment and at 24,48,and 72 hours after treatment were recorded.Arterial partial pressure of oxygen(PaO2),arterial partial pressure of carbon dioxide(PaCO2),oxygenation index(PaO2/FiO2),oxygen saturation(SaO2/SPO2),vital signs and postoperative complications were compared between the two groups.Results Compared with the control group,the values of PaO2,PaCO2,PaO2/FiO2 and SaO2 before treatment and the vital signs(body temperature,heart rate,respiratory rate,systolic and diastolic blood pressure)at 24 h,48 h and 72 h after treatment were not significantly different(P>0.05).The PaO2,PaCO2,PaO2/FiO2 and SaO2 in prone ventilation group at 24 h,48 h and 72 h after admission were significantly better than those in control group(P<0.05),and the incidence of postoperative complications and offline time were significantly decreased(P<0.05).Conclusion Prone ventilation significantly improves oxygenation status,reduces carbon dioxide retention,and decreases postoperative complications in patients with low oxygen saturation after cardiac surgery,providing a positive impact on their recovery.关键词
俯卧位通气治疗/心脏外科术后/低血氧饱和度/氧合指数Key words
Prone position ventilation therapy/Post cardiac surgery/Hypoxaemia/Oxygenation index引用本文复制引用
刘丽,邢丽娜,王沅芷,马晶..俯卧位通气对心外科手术后低氧血症患者的影响研究[J].中国体外循环杂志,2025,23(2):127-131,139,6.基金项目
自治区科技支疆项目计划(2022E02112) （2022E02112）
