摘要
目的观察体位改进(平卧位改俯卧位)对急性呼吸窘迫综合征(ARDS)患者机械通气氧合状态的影响。方法选择ARDS机械通气患者60例,分为俯卧位组和常规组(平卧位),观察俯卧位通气0.5 h、3 h、5 h后,比较两组的SpO2、PaO2、PaO2/FiO2、HR、MAP等。结果俯卧位通气对患者的HR、MAP影响不大(P>0.05),但两组SpO2、PaO2、PaO2/FiO2改变有显著性差异(P<0.05)。结论俯卧位通气能通过改善通气/血流比例失调来促进ARDS患者氧合,纠正缺氧,达到早日脱机且实施方便。护理人员操作得当是减少并发症发生的关键。
Objective To observe position improvement(recumbent position change prone position) of ARDS patients with mechanical ventilation oxygenated state influence.Methods Choosing ARDS patients with mechanical ventilation sixty cases,dividing them into prone position group and normal group(recumbent position),observing the prone position ventilation 0.5 h,3 h and 5 h,and comparing SpO2,PaO2,PaO2/ FiO2,HR and MAP,etc in the two groups.Results Prone position ventilation in patients with HR,MAP the impact is not big(P > 0.05),but change of SpO2,PaO2,PaO2/ FiO2 in the two groups has significant difference(P < 0.05).Conclusion Prone position ventilation can improve the ventilation / blood flow ratio imbalance to promote ARDS patients oxygen close,correct anaerobic,achieve early weaning,and convenient implementation.Nursing personnel operating properly is the key to reduce the complications.
出处
《黑龙江医学》
2013年第8期726-728,共3页
Heilongjiang Medical Journal
