首页|腹部悬空俯卧位机械通气对ARDS患者肺顺应性及氧合功能的影响

腹部悬空俯卧位机械通气对ARDS患者肺顺应性及氧合功能的影响

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目的 探讨腹部悬空俯卧位机械通气对中重度急性呼吸窘迫综合征患者肺顺应性、氧合功能及俯卧位相关不良事件的影响.方法 将68例中重度急性呼吸窘迫综合征患者随机分为对照组和试验组各34例.对照组采用常规俯卧位通气,试验组以凝胶体位垫辅助进行腹部悬空俯卧位通气,比较两组俯卧位通气前,通气4、8、12 h及通气后4 h的肺顺应性、氧合指标及俯卧位相关不良事件发生率.结果 不同时间点试验组潮气量、平台压、肺顺应性、PaO2、PaCO2、SpO2、氧合指数显著优于对照组(处理效应均P＜0.05);试验组眼部并发症发生率显著低于对照组(P＜0.05).结论 腹部悬空俯卧位机械通气有利于改善中重度急性急性呼吸窘迫综合征患者肺顺应性及氧合功能.
Effect of mechanical ventilation in prone position with abdominal suspension on pul-monary compliance and oxygenation function in ARDS patients
Objective To explore the effects of mechanical ventilation in prone position with abdominal suspension on pulmonary com-pliance,oxygenation function and prone position-related adverse events in patients with moderate-to-severe acute respiratory dis-tress syndrome(ARDS).Methods A total of 68 patients with moderate-to-severe ARDS were randomly divided into 34 cases each in the control group and the experimental group.The control group was ventilated in the conventional prone position,and the experi-mental group was ventilated in the prone position with abdominal suspension assisted by gel position pads.The pulmonary comp-liance,oxygenation indexe and the incidence of prone position-related adverse events were compared between the two groups before prone position ventilation,at 4,8,and 12 h of the ventilation,and at 4 h of post-ventilation.Results Tidal volume,plateau pres-sure,pulmonary compliance,PaO2,PaCO2,SpO2,and oxygenation index of the experimental group were significantly better than those of the control group in the different time points(all P＜0.05);the ocular complications in the experimental group was significantly lower than that of the control group(P＜0.05).Conclusion Mechanical ventilation in the prone position with abdomi-nal suspension is conducive to improving pulmonary compliance and oxygenation function in patients with moderate-to-severe ARDS.

acute respiratory distress syndromeintensive careprone positionmechanical ventilationabdominal suspen-sionpulmonary complianceoxygenation functionpressure injury

王本金、江智霞、陈俊希、陈红艳、何利燕、李晓娟

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遵义医科大学附属医院 护理部(贵州遵义,563000)

遵义医科大学附属医院 重症医学科(贵州遵义,563000)

贵州护理职业技术学院

急性呼吸窘迫综合征 重症监护 俯卧位 机械通气 腹部悬空 肺顺应性 氧合功能 压力性损伤

贵州省遵义市科技局计划

遵市科合HZ字2021154号

2024

10.3870/j.issn.1001-4152.2024.13.052

护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCD北大核心
影响因子：2.062
ISSN：1001-4152
年,卷(期)：2024.39(13)