Objective To explore the clinical effects of different durations of prone position ventilation in patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD)requiring invasive mechanical ventilation.Methods A total of 60 AECOPD patients treated in the ICU of our hospital from September 2022 to December 2023 were selected and randomly divided into two groups:the observation group(30 cases with a ventilation duration of 8 hours)and the control group(30 cases with a ventilation duration of 4 hours).The oxygenation index and the time to remove the tracheal intubation were compared after 3 days of treatment in both groups,as well as the incidence of pressure sores,hemodynamic instability,and tracheal intubation displacement,etc.Results The oxygenation index of patients in both groups was higher than before treatment after 3 days(P<0.05),and the observation group's oxygenation index was higher than that of the control group(P<0.05).The time to remove the tracheal intubation was shorter than that of the control group(P<0.05),and the incidence of adverse events was lower than that of the control group(P<0.05).Conclusion Prolonging the duration of prone position ventilation can improve the oxygenation index of patients,shorten the intubation time,and will not increase the risk of adverse reactions,which has important clinical application value.
Prone position ventilationAcute exacerbation of chronic obstructive pulmonary diseaseVentilation durationOxygenation indexTracheal intubation
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维普
