中国中西医结合急救杂志2026，Vol.33Issue(2)：193-198,6.DOI:10.3969/j.issn.1008-9691.2026.02.011
海绵水囊套枕在清醒俯卧位通气患者中的应用
Application of sponge water pillow casing in awake prone positioning ventilation patients
摘要
Abstract
Objective To explore the application effect of a sponge water pillow casing in patients undergoing awake prone positioning(APP)ventilation.Methods A total of 60 patients with acute hypoxemic respiratory failure(AHRF)admitted to the department of critical care medicine of Hangzhou First People's Hospital from December 2023 to October 2024 were enrolled as research subjects.The patients were randomly divided into the observation group and the control group using the random number table method,with 30 cases in each group.Three patients in the control group dropped out of the study midway,finally,27 patients were included in the analysis.Patients in the observation group were provided with the sponge water pillow casing,while those in the control group used cotton-core soft pillows.The two groups were compared in terms of the cumulative 3-day APP,pulse oxygen saturation(SpO2),arterial partial pressure of oxygen(PaO2),location and severity of pressure injuries,overall comfort,and treatment compliance.Results The cumulative 3-day prone position duration in the observation group was significantly longer than that in the control group(hours:43.26±4.95 vs.28.48±5.49).The observation group had notably lower overall comfort scores,proportion of patients with a treatment compliance score of 2 points,incidence of thoracic pressure injuries,and incidence of stageⅠpressure injuries than the control group[overall comfort score:3.13±1.19 vs.5.63±1.94;proportion of patients with 2-point compliance score:10.0%(3/30)vs.63.0%(17/27);incidence of thoracic pressure injuries:6.7%(2/30)vs.29.6%(8/27);incidence of stageⅠpressure injuries:10.0%(3/30)vs.48.1%(13/27),all P<0.05];the proportions of patients with treatment compliance scores of 3 points and 4 points in the observation group were significantly higher[proportion of 3-point compliance score:53.3%(16/30)vs.18.5%(5/27);proportion of 4-point compliance score:36.7%(11/30)vs.7.4%(2/27),both P<0.05].Conclusions The application of sponge water pillow casing can improve patients'overall comfort and prone position compliance,thereby prolonging prone position duration,reducing the incidence of pressure injuries and stageⅠpressure injuries during prone positioning,lowering the intubation rate and mortality risk,and minimizing the occurrence of complications.关键词
海绵水囊套枕/清醒俯卧位通气/俯卧位时长/依从性/压力性损伤Key words
Sponge water pillow casing/Awake prone positioning ventilation/Prone positioning duration/Compliance/Pressure injury引用本文复制引用
晏俊华,夏柳勤,王帅,章敏飞,胡玲琳,罗蒙强..海绵水囊套枕在清醒俯卧位通气患者中的应用[J].中国中西医结合急救杂志,2026,33(2):193-198,6.基金项目
浙江省杭州市医药卫生科技项目(A20220551) （A20220551）
国家实用新型专利(ZL 2021 2 0821792.4,ZL 2021 2 0820673.7,ZL 2021 2 0826578.8,ZL 2021 2 0820649.3,ZL 2021 2 0827002.3) Hangzhou Medical and Health Science and Technology Project,Zhejiang Province(A20220551) （ZL 2021 2 0821792.4,ZL 2021 2 0820673.7,ZL 2021 2 0826578.8,ZL 2021 2 0820649.3,ZL 2021 2 0827002.3）
National Utility Model Patent of China(ZL 2021 2 0821792.4,ZL 2021 2 0820673.7,ZL 2021 2 0826578.8,ZL 2021 2 0820649.3,ZL 2021 2 0827002.3) （ZL 2021 2 0821792.4,ZL 2021 2 0820673.7,ZL 2021 2 0826578.8,ZL 2021 2 0820649.3,ZL 2021 2 0827002.3）
